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Document And Entity Information - USD ($)	12 Months Ended
Document And Entity Information - USD ($)	Dec. 31, 2017	Mar. 01, 2018	Jun. 30, 2017
Document And Entity Information [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2017
Document Fiscal Period Focus	FY
Document Fiscal Year Focus	2017
Entity Registrant Name	Addus HomeCare Corp
Entity Central Index Key	0001468328
Trading Symbol	adus
Current Fiscal Year End Date	--12-31
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		11,630,888
Entity Public Float			$ 287,192,965
Entity Well-known Seasoned Issuer	No
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Current assets
Cash	$ 53,754	$ 8,013
Accounts receivable, net of allowances of $10,537 and $7,363 at December 31, 2017 and 2016, respectively	88,952	116,999
Prepaid expenses and other current assets	8,379	5,998
Total current assets	151,085	131,010
Property and equipment, net of accumulated depreciation and amortization	7,489	6,648
Other assets
Goodwill	90,339	72,688
Intangible assets, net of accumulated amortization	16,596	15,263
Investments in joint ventures		900
Deferred tax assets, net	1,601	3,355
Total other assets	108,536	92,206
Total assets	267,110	229,864
Current liabilities
Accounts payable	4,271	4,486
Current portion of long-term debt, net of debt issuance costs	3,099	2,531
Accrued expenses	44,800	42,603
Total current liabilities	52,170	49,620
Long-term liabilities
Long-term debt, less current portion, net of debt issuance costs	39,860	22,482
Total liabilities	92,030	72,102
Stockholders' equity
Common stock-$.001 par value; 40,000 authorized and 11,632 and 11,527 shares issued and outstanding as of December 31, 2017 and 2016, respectively	12	12
Additional paid-in capital	95,963	92,253
Retained earnings	79,105	65,497
Total stockholders' equity	175,080	157,762
Total liabilities and stockholders' equity	$ 267,110	$ 229,864

Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Consolidated Balance Sheets [Abstract]
Accounts receivable, allowance for doubtful accounts	$ 10,537	$ 7,363
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	11,632,000	11,527,000
Common stock, shares outstanding	11,632,000	11,527,000

Consolidated Statements of Income - USD ($) $ in Thousands	12 Months Ended
Consolidated Statements of Income - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Consolidated Statements of Income [Abstract]
Net service revenues	$ 425,715	$ 400,688	$ 336,815
Cost of service revenues	310,119	294,593	245,492
Gross profit	115,596	106,095	91,323
General and administrative expenses	76,902	76,840	66,143
Gain on sale of assets	(2,467)
Revaluation of contingent consideration			130
Depreciation and amortization	6,663	6,647	4,717
Provision for doubtful accounts	8,259	7,373	4,309
Total operating expenses	89,357	90,860	75,299
Operating income from continuing operations	26,239	15,235	16,024
Interest income	(66)	(2,812)	(47)
Interest expense	4,472	2,332	786
Total interest (income) expense, net	4,406	(480)	739
Other income	217	206
Income from continuing operations before income taxes	22,050	15,921	15,285
Income tax expense	8,589	3,994	3,932
Net income from continuing operations	13,461	11,927	11,353
Earnings from discontinued operations, net of tax	147	97	270
Net income	$ 13,608	$ 12,024	$ 11,623
Net income per common share
Basic income per share	$ 1.19	$ 1.06	$ 1.06
Diluted income per share	1.17	1.06	1.04
Basic income per share
Continuing operations	1.18	1.05	1.03
Discontinued operations	0.01	0.01	0.03
Diluted income per share
Continuing operations	1.16	1.05	1.02
Discontinued operations	$ 0.01	$ 0.01	$ 0.02
Weighted average number of common shares and potential common shares outstanding:
Basic	11,470,000	11,292,000	10,986,000
Diluted	11,623,000	11,349,000	11,189,000

Consolidated Statements of Stockholders' Equity - USD ($) shares in Thousands, $ in Thousands	Common Stock [Member]	Additional Paid in Capital [Member]	Retained Earnings [Member]	Total
Balance at Dec. 31, 2014	$ 11	$ 84,929	$ 41,850	$ 126,790
Balance, shares at Dec. 31, 2014	11,010
Issuance of shares of common stock under restricted stock award agreements, Shares	57
Forfeiture of shares of common stock under restricted stock award agreements, shares	(3)
Stock-based compensation		1,573		1,573
Excess tax benefit from exercise of stock options		269		269
Shares issued for exercise of stock options		305		305
Shares issued for exercise of stock options, shares	44
Net income			11,623	11,623
Balance at Dec. 31, 2015	$ 11	87,076	53,473	140,560
Balance, shares at Dec. 31, 2015	11,108
Issuance of shares of common stock under restricted stock award agreements, Shares	108
Forfeiture of shares of common stock under restricted stock award agreements, shares	(69)
Stock-based compensation		1,072		1,072
Excess tax benefit from exercise of stock options		1,090		1,090
Shares issued for exercise of stock options	$ 1	3,015		3,016
Shares issued for exercise of stock options, shares	380
Net income			12,024	12,024
Balance (As Previously Reported [Member]) at Dec. 31, 2016				158,928
Balance at Dec. 31, 2016	$ 12	92,253	65,497	157,762
Balance, shares at Dec. 31, 2016	11,527
Issuance of shares of common stock under restricted stock award agreements, Shares	90
Forfeiture of shares of common stock under restricted stock award agreements, shares	(36)
Stock-based compensation		2,552		2,552
Shares issued for exercise of stock options		1,158		1,158
Shares issued for exercise of stock options, shares	51
Net income			13,608	13,608
Balance at Dec. 31, 2017	$ 12	$ 95,963	$ 79,105	$ 175,080
Balance, shares at Dec. 31, 2017	11,632

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Cash flows from operating activities:
Net income	$ 13,608	$ 12,024	$ 11,623
Adjustments to reconcile net income to net cash provided by (used in) operating activities, net of acquisitions:
Depreciation and amortization	6,663	6,647	4,717
Non-cash restructuring	383	2,550
Deferred income taxes	1,754	(1,328)	838
Stock-based compensation	2,552	1,072	1,573
Amortization and write-off of debt issuance costs under the terminated credit facility	1,484	357	97
Amortization of debt issuance costs under the new credit facility	382
Provision for doubtful accounts	8,259	7,373	4,309
Revaluation of contingent consideration			130
Gain on sale of assets	(2,467)
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	21,023	(32,606)	(19,512)
Prepaid expenses and other current assets	(2,364)	(282)	2,318
Accounts payable	(229)	(1,530)	570
Accrued expenses	1,723	4,980	(2,557)
Net cash provided by (used in) operating activities	52,771	(743)	4,106
Cash flows from investing activities:
Proceeds from the sale of assets	3,702
Acquisitions of businesses, net of cash acquired	(24,354)	(20,026)	(8,365)
Acquisition of customer list			(146)
Purchases of property and equipment	(3,616)	(1,712)	(2,213)
Net cash used in investing activities	(24,268)	(21,738)	(10,724)
Cash flows from financing activities:
Borrowings on revolver-new credit facility	30,000
Borrowings on revolver - terminated credit facility	20,000	27,000
Borrowings on term loan - new credit facility	45,000
Borrowings on term loan - terminated credit facility		25,000
Payments on revolver-new credit facility	(30,000)
Payments on revolver-terminated credit facility	(20,000)	(27,000)
Payments on term loan- new credit facility	(563)
Payments on term loan - terminated credit facility	(24,063)	(938)
Payments on capital lease obligations	(1,432)	(1,175)	(1,050)
Payments for debt issuance costs under the new credit facility	(2,862)
Payments for debt issuance costs under the terminated credit facility		(503)	(1,165)
Cash received from exercise of stock options	1,158	3,016	305
Excess tax benefit from exercise of stock options		1,090	269
Payment on contingent earn-out obligation		(100)	(1,000)
Net cash provided by (used in) financing activities	17,238	26,390	(2,641)
Net change in cash	45,741	3,909	(9,259)
Cash, at beginning of period	8,013	4,104	13,363
Cash, at end of period	53,754	8,013	4,104
Supplemental disclosures of cash flow information:
Cash paid for interest	2,261	2,322	786
Cash paid for income taxes	6,838	5,087	911
Supplemental disclosures of non-cash investing and financing activities
Property and equipment acquired through capital lease obligations		618	378
Tax benefit related to the amortization of tax goodwill in excess of book basis	$ 206	$ 203	$ 123

Significant Accounting Policies

12 Months Ended

Dec. 31, 2017

Significant Accounting Policies [Abstract]

Significant Accounting Policies

1. Significant Accounting Policies

Basis of Presentation and Description of Business

The Consolidated Financial Statements include the accounts of Addus HomeCare Corporation ("Holdings") and its subsidiaries (together with Holdings, the "Company," "we," "us," or "our"). The Company operates as one reportable business segment and is a provider of comprehensive personal care services, which are provided primarily in the home. The Company's personal care services provide assistance with activities of daily living. The Company's consumers are primarily persons who are at risk of hospitalization or institutionalization, such as the elderly, chronically ill and disabled. The Company's payor clients include federal, state and local governmental agencies, managed care organizations, commercial insurers and private individuals. As of December 31, 2017, the Company provided personal care services to over 34,000 consumers in 24 states through 116 offices.

Principles of Consolidation

All intercompany balances and transactions have been eliminated in consolidation.

The Company used the cost method to account for its investments in joint ventures in which it owned 10% equity interests. The Company sold such investments on October 1, 2017 (see Note 3).

Revenue Recognition

The Company generates net service revenues by providing services directly to consumers. The Company receives payments for providing services from federal, state and local governmental agencies, managed care organizations, commercial insurers and private consumers. The Company's operations are principally provided based on authorized hours, determined by the relevant agency, at an hourly rate specified in agreements or fixed by legislation and recognized as revenues at the time services are rendered. Personal care service revenues are reimbursed by state, local and other governmental programs which are partially funded by Medicaid or Medicaid waiver programs, with the remainder reimbursed through insurance programs and private pay.

Allowance for Doubtful Accounts

The Company establishes its allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. The Company establishes its provision for doubtful accounts primarily by analyzing historical trends and the aging of receivables. In its evaluation, the Company considers other factors including: delays in payment trends in individual states due to budget or funding issues; billing conversions related to acquisitions or internal systems; resubmission of bills with required documentation and disputes with specific payors. An allowance for doubtful accounts is maintained at a level that the Company's management believes is sufficient to cover potential losses. However, actual collections could differ from the Company's estimates.

Property and Equipment

Property and equipment are recorded at cost and depreciated over the estimated useful lives of the related assets by use of the straight-line method. Maintenance and repairs are charged to expense as incurred. The estimated useful lives of the property and equipment are as follows:


Computer equipment	3—5 years
Furniture and equipment	5—7 years
Transportation equipment	5 years
Computer software	5—10 years
Leasehold improvements	Lesser of useful life or lease term, unless
	probability of lease renewal is likely

Goodwill

The Company's carrying value of goodwill is the excess of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare, Inc. ("Addus HealthCare"). In accordance with Accounting Standards Codification ("ASC") Topic 350, "Goodwill and Other Intangible Assets ," goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. The Company may use a qualitative test, known as "Step 0," or a two-step quantitative method to determine whether impairment has occurred. In Step 0, the Company can elect to perform an optional qualitative analysis and based on the results skip the two-step analysis. In 2017, 2016 and 2015, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis. The results of the Company's Step 0 assessments indicated that it was more likely than not that the fair value of its reporting unit exceeded its carrying value and therefore the Company concluded that there were no impairments for the years ended December 31, 2017, 2016 or 2015.

Intangible Assets

The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to twenty-five years.

Intangible assets with finite lives are amortized using the estimated economic benefit method over the useful life and assessed for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. The Company would recognize an impairment loss when the estimated future non-discounted cash flows associated with the intangible asset is less than the carrying value. An impairment charge would then be recorded for the excess of the carrying value over the fair value. The Company estimates the fair value of these intangible assets using the income approach. No impairment charge was recorded for the years ended December 31, 2017, 2016 or 2015.

The income approach, which the Company uses to estimate the fair value of its intangible assets (other than goodwill), is dependent on a number of factors including estimates of future market growth and trends, forecasted revenue and costs, expected periods over which the assets will be utilized, appropriate discount rates and other variables. The Company bases its fair value estimates on assumptions the Company believes to be reasonable but which are unpredictable and inherently uncertain. Actual future results may differ from those estimates.

Debt Issuance Costs

The Company amortizes debt issuance costs on a straight-line method over the term of the related debt. This method approximates the effective interest method. The Company has classified the debt issuance costs as current portion of long-term debt or long-term debt, less current portion as of December 31, 2017 and 2016.

Workers' Compensation Program

The Company's workers' compensation insurance program has a $0.4 million deductible component. The Company recognizes its obligations associated with this program in the period the claim is incurred. The cost of both the claims reported and claims incurred but not reported, up to the deductible, have been accrued based on historical claims experience, industry statistics and an actuarial analysis performed by an independent third party. The Company monitors its claims quarterly and adjusts its reserves accordingly. These costs are recorded primarily as the cost of services on the Consolidated Statements of Income. As of December 31, 2017 and 2016, the Company recorded $12.6 million and $12.8 million, respectively, in accrued workers' compensation insurance. The accrued workers' compensation insurance is included in accrued expenses on the Company's Consolidated Balance Sheets. As of December 31, 2017 and 2016, the Company recorded $0.5 million and $0.7 million, respectively, in workers' compensation insurance recovery receivables. The workers' compensation insurance recovery receivable is included in prepaid expenses and other current assets on the Company's Consolidated Balance Sheets.

Interest Income

Illinois law entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the Consolidated Statements of Income as interest income. For the year ended December 31, 2017, the Company did not receive any prompt payment interest. For the year ended December 31, 2016, the Company received $2.8 million in prompt payment interest. For the year ended December 31, 2015, the Company did not earn or receive any prompt payment interest. While the Company may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and the Company has determined that it will continue to recognize prompt payment interest income when received.

Interest Expense

The Company's interest expense consists of interest and unused credit line fees on its credit facilities, interest on its capital lease obligations, and amortization and write-off of debt issuance costs, which is reported in the statement of income when incurred.

Other Income

Other income consisted of income distributions received from investments in joint ventures. The Company accounted for this income in accordance with ASC Topic 325, "Investments—Other." The Company recognized the net accumulated earnings only to the extent distributed by the joint ventures on the date received. The Company subsequently sold these equity investments on October 1, 2017 (see Note 3).

Income Tax Expenses

The Company accounts for income taxes under the provisions of ASC Topic 740, "Income Taxes." The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in its financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of the Company's assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740 also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions.

As a result of the reduction in the U.S. corporate income tax rate from 35.0% to 21.0% under the Tax Reform Act, the Company revalued its ending net deferred tax assets at December 31, 2017 and recognized a provisional $0.9 million tax expense in the Company's Consolidated Statements of Income for the year ended December 31, 2017. Additionally, the Tax Reform Act repealed the performance-based compensation exceptions to the $1.0 million yearly limit on the deduction for compensation paid with respect to a covered employee to include the Chief Executive Officer, Chief Financial Officer and the 3 highest paid employees under Section 162(m). As a result, the Company recognized a provisional valuation allowance of $0.3 million in the Company's Consolidated Statements of Income for the year ended December 31, 2017.

In March 2016, the FASB issued Accounting Standards Update ("ASU") 2016-09, "Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting." ASU 2016-09 allows for simplification of several aspects of the accounting for share-based payment transactions including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. Under ASU 2016-09, all excess tax benefits and tax deficiencies (including tax benefits of dividends on share-based payment awards) should be recognized as income tax expense or benefit in the income statement. ASU 2016-09 also requires recognition of excess tax benefits regardless of whether the benefit reduces taxes payable in the current period. ASU 2016-09 further permits the withholding of an amount up to employees' maximum individual tax rate in the relevant jurisdiction without resulting in a liability classification. ASU 2016-09 also requires any excess tax benefits be classified along with other income tax cash flows as an operating activity and cash paid by an employer when directly withholding shares for tax-withholding purposes to be classified as a financing activity. The Company adopted this standard on January 1, 2017 on a prospective basis. As a result, for the year ended December 31, 2017, the Company recorded an excess tax benefit of $0.1 million within income tax expense on its Consolidated Statements of Income.

The Company recognizes interest and penalties accrued related to uncertain tax positions in interest expense and penalties within operating expenses on the Consolidated Statements of Income.

Stock-based Compensation

The Company currently has one active stock incentive plan, the 2017 Omnibus Incentive Plan (the "2017 Plan"), that provides for new grants of stock-based employee compensation. The Company accounts for stock-based compensation in accordance with ASC Topic 718, "Stock Compensation." Under the 2017 Plan, compensation expense is recognized on a straight-line basis over the vesting period of the equity awards based on the grant date fair value of the options and restricted stock awards. From October 28, 2009 to December 31, 2016, the Company utilized the Enhanced Hull-White Trinomial Model to value the Company's options. Beginning January 1, 2017, the Company began utilizing the Black-Scholes Option Pricing Model to value the Company's options, as the Company believes it is a more widely accepted and understood valuation model. The determination of the fair value of stock-based payments utilizing the Black-Scholes Model and the Enhanced Hull-White Trinomial Model is affected by the Company's stock price and a number of assumptions, including expected volatility, risk-free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate and the expected exercise multiple.

Diluted Net Income Per Common Share

Diluted net income per common share, calculated on the treasury stock method, is based on the weighted average number of shares outstanding during the period. The Company's outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards.

Included in the Company's calculation of diluted earnings per share for the year ended December 31, 2017 were approximately 479,000 stock options outstanding, of which approximately 101,000 were dilutive. In addition, there were approximately 143,000 restricted stock awards outstanding, of which approximately 52,000 were dilutive for the year ended December 31, 2017.

Included in the Company's calculation of diluted earnings per share for the year ended December 31, 2016 were approximately 405,000 stock options outstanding, of which approximately 30,000 were dilutive. In addition, there were approximately 103,000 restricted stock awards outstanding, of which approximately 27,000 were dilutive for the year ended December 31, 2016.

Included in the Company's calculation of diluted earnings per share for the year ended December 31, 2015 were approximately 650,000 stock options outstanding, of which approximately 40,000 were out-of-the-money. In addition, there were approximately 89,000 restricted stock awards outstanding, of which approximately 6,000 were dilutive for the year ended December 31, 2015.

Estimates

The financial statements are prepared by management in conformity with U.S. Generally Accepted Accounting Principles ("GAAP") and include estimated amounts and certain disclosures based on assumptions about future events. The Company's critical accounting estimates include the following areas: the allowance for doubtful accounts, reserve for self-insurance claims, accounting for stock-based compensation, accounting for income taxes, business combinations and when required, the quantitative assessment of goodwill. Actual results could differ from those estimates.

Fair Value Measurements

The Company's financial instruments consist of cash, accounts receivable, payables and debt. The carrying amounts reported on the Company's Consolidated Balance Sheets for cash, accounts receivable, accounts payable and accrued expenses approximate fair value because of the short-term nature of these instruments. The carrying value of the Company's long-term debt with variable interest rates approximates fair value based on instruments with similar terms using level 2 inputs as defined under ASC Topic 820 "Fair Value Measurement."

The Company applies fair value techniques on a non-recurring basis associated with valuing potential impairment losses related to goodwill, if required, and indefinite-lived intangible assets and also when determining the fair value of contingent consideration, if applicable. To determine the fair value in these situations, the Company uses Level 3 inputs, under ASC Topic 820 and defined as unobservable inputs in which little or no market data exists; therefore requiring an entity to develop its own assumptions, such as discounted cash flows, or if available, what a market participant would pay on the measurement date.

The Company utilizes the income approach to estimate the fair value of its intangible assets derived from acquisitions.

Going Concern

In connection with the preparation of the financial statements for the years ended December 31, 2017 and 2016, the Company conducted an evaluation as to whether there were conditions and events, considered in the aggregate, which raised substantial doubt as to the entity's ability to continue as a going concern within one year after the date of the issuance, or the date of availability, of the financial statements to be issued. The evaluation concluded that there did not appear to be evidence of substantial doubt of the entity's ability to continue as a going concern.

New Accounting Pronouncements

In May 2014, the FASB issued ASU 2014-09, "Revenue from Contracts with Customers (Topic 606)," which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. ASU 2014-09 replaced most existing revenue recognition guidance in GAAP. During 2017, the Company completed its assessment with assistance from outside resources to prepare specific contract analysis and document policy changes. The Company also reviewed its contract and revenue streams and implemented system enhancements. Under ASU 2014-09, the timing and measurement of revenue for the Company's customers is similar to its current revenue recognition model due to the structure of payor contracts which consists of a fixed reimbursement rate that is deemed earned upon completion of a defined service. The Company anticipates that for periods subsequent to adoption, the majority of what is currently classified as bad debt expense under operating expenses will be treated as an implicit price concession factored into net revenue, consistent with the intent of the standard. As a result, there will be a decrease in gross profit for periods subsequent to the adoption as compared to prior periods with no change to operating income or net income. The new standard also requires enhanced disclosures related to the disaggregation of revenue, information about contract balances, and other disclosures about contracts with customers, including revenue recognition policies to identify performance obligations and significant judgments in measurement and recognition. The Company adopted the standard on January 1, 2018 using the modified retrospective approach and the adoption did not result in a material cumulative adjustment.

In February 2016, the FASB issued ASU 2016-02, "Leases (Topic 842)," which replaces existing leasing rules with a comprehensive lease measurement and recognition standard and expanded disclosure requirements. ASU 2016-02 will require lessees to recognize most leases on their balance sheets as liabilities, with corresponding "right-of-use" assets and is effective for annual reporting periods beginning after December 15, 2018, subject to early adoption. For income statement recognition purposes, leases will be classified as either a finance or an operating lease. The Company will be required to recognize and measure leases at the beginning of the earliest period presented using a modified retrospective approach. Upon initial evaluation, the Company believes that the new standard will have a material impact on its Consolidated Balance Sheets but it will not affect its liquidity. It has been determined that the Company will need to secure new software to account for the change in accounting for leases and is currently reviewing the software options available.

In August 2016, the FASB issued ASU 2016-15, "Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments." This standard amends and adjusts how cash receipts and cash payments are presented and classified in the statement of cash flows. ASU 2016-15 is effective for fiscal years beginning after December 15, 2017, and interim periods within those fiscal years, and will require adoption on a retrospective basis unless impracticable. If impracticable the Company would be required to apply the amendments prospectively as of the earliest date possible. The Company is currently evaluating the impact that ASU 2016-15 will have on its statement of cash flows but does not expect it to have a material impact.

In January 2017, the FASB issued ASU 2017-04, "Intangibles—Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment." The new guidance eliminates the requirement to calculate the implied fair value of goodwill (i.e., Step 2 of the current goodwill impairment test) to measure a goodwill impairment charge. Instead, entities will record an impairment charge based on the excess of a reporting unit's carrying amount over its fair value (i.e., measure the charge based on the current Step 1). ASU 2017-04 is effective for annual and any interim impairment tests for periods beginning after December 15, 2019. The Company is currently evaluating the provisions of ASU 2017-04 to determine how its goodwill impairment testing will be impacted and whether it may elect to adopt ASU 2017-04 prior to the stated effective date.

In May 2017, the FASB issued ASU 2017-09, "Compensation—Stock Compensation (Topic 718): Scope of Modification Accounting." ASU 2017-09 clarifies when to account for a change to the terms or conditions of a share-based payment award as a modification. Under the new guidance, modification accounting is required only if the fair value, the vesting conditions, or the classification of the award (as equity or liability) changes as a result of the change in terms or conditions. This pronouncement is effective for annual periods, and for interim periods within those annual periods, beginning after December 15, 2017, with early adoption permitted, and is applied prospectively to changes in terms or conditions of awards occurring on or after the adoption date. The Company is evaluating the impact of the adoption of this guidance on its financial statements but does not expect it to have a material impact.

Reclassification of Prior Period Balances

Certain reclassifications have been made to prior period amounts to conform to the current-year presentation including the reporting of provision for doubtful accounts as a separate line item on the Consolidated Statements of Income. These reclassifications have no effect on the reported net income for the years ended December 31, 2017, 2016 and 2015.

Correction to Prior Period Financial Statements

12 Months Ended

Dec. 31, 2017

Correction to Prior Period Financial Statements [Abstract]

Correction to Prior Period Financial Statements

2. Correction to Prior Period Financial Statements

Management noted errors in the Company's previously issued Consolidated Financial Statements. The first error, in the amount of approximately $0.6 million, relates to the calculation of tax benefits that should have been applied to reduce goodwill. The second error in the amount of $0.7 million relates to the fact that the Company did not reduce goodwill for the tax benefits resulting from the allocation of goodwill to a disposition at the time the Company disposed of the home health business in 2013. The third error relates to the disposal of a state license in the amount of $0.2 million that was not derecognized at the time of sale in 2013. The fourth error in the amount of $0.2 million relates to errors made in the calculation of deferred taxes associated with the Company's stock-based compensation since 2010. This error partially offsets the errors previously described.

As such, the Company's consolidated financial statements for fiscal year 2006 and periods thereafter included misstatements associated with the errors noted above. The cumulative reduction in net income resulting from correcting these errors beginning in the year 2006 totaled $1.2 million.

In evaluating whether the previously issued Consolidated Financial Statements were materially misstated, the Company applied the guidance of ASC 250, Accounting Changes and Error Corrections, SEC Staff Accounting Bulletin ("SAB") Topic 1.M, Assessing Materiality and SAB Topic 1.N, Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in Current Year Financial Statements and concluded that the effect of the errors on prior period financial statements was immaterial. However, the guidance states that prior-year misstatements which, if corrected in the current year would materially misstate the current year's financial statements, must be corrected by adjusting prior year financial statements, even though such correction previously was and continues to be immaterial to the prior-year financial statements. Correcting prior-year financial statements for such "immaterial misstatements" does not require previously filed reports to be amended. The Company concluded that the error was not material to the affected prior periods; however, the cumulative effect of correcting all of the prior period misstatements in the current year would be material to the current year consolidated financial statements.

The cumulative effect of adjustments required to correct the misstatements in the financial statements years prior to 2015 are reflected in the revised opening retained earnings balance as of January 1, 2015. The cumulative effect of those adjustments on all periods reduced previously reported retained earnings by $1.2 million.

As a result, certain amounts presented in the Company's Consolidated Balance Sheets have been revised from the amounts previously reported to correct this error as shown in the table below.

Consolidated Balance Sheet as of December 31, 2016 (in thousands):


		As
		Previously					As
		Reported		Corrections			Revised
Deferred tax asset, net	$	3,153	$	202		$	3,355
Goodwill		73,906		(1,218	)		72,688
Intangible assets, net of accumulated amortization		15,413		(150	)		15,263
Total assets	$	231,030	$	(1,166	)	$	229,864
Total liabilities		72,102		—			72,102
Total stockholders' equity		158,928		(1,166	)		157,762
Total liabilities and stockholders' equity	$	231,030	$	(1,166	)	$	229,864

Gain on Sale of Assets	12 Months Ended
Gain on Sale of Assets	Dec. 31, 2017
Gain on Sale of Assets [Abstract]
Gain on Sale of Assets	3. Gain on Sale of Assets On October 1, 2017, the Company sold its 10% membership interests in two joint ventures with LHC Group, Inc. ("LHCG"), which were previously reported as Investments in joint ventures on the Company's Consolidated Balance Sheets at December 31, 2016. The Company received proceeds of approximately $1.3 million and recorded a pre-tax gain of $0.4 million on the sale of its membership interest. In order to focus on providing services to consumers in their homes, effective March 1, 2017, the Company ceased the adult day services business and completed its sale of substantially all of the assets used in three adult day services centers in Illinois. The Company received proceeds of approximately $2.4 million and recorded a pre-tax gain of $2.1 million on the sale of the three adult day services centers.

Discontinued Operations

12 Months Ended

Dec. 31, 2017

Discontinued Operations [Abstract]

Discontinued Operations

4. Discontinued Operations

Effective March 1, 2013, the Company sold substantially all of the assets used in its home health business (the "Home Health Business") in Arkansas, Nevada and South Carolina, and 90% of the Home Health Business in California and Illinois, to subsidiaries of LHC Group, Inc. (the "Purchasers") for a cash consideration of $20.0 million. The Company held a 10% ownership interest in the Home Health Business in California and Illinois from March 1, 2013 to October 1, 2017, when it sold its interest. The assets sold included 19 home health agencies and two hospice agencies in five states. On December 30, 2013, the Company sold one home health agency in Pennsylvania for approximately $0.2 million. The results of the Home Health Business and the Pennsylvania home health agency sold are reflected as discontinued operations for all periods presented herein.

As a condition of the sale of the Home Health Business to subsidiaries of LHCG, the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing of the sale. In connection with an internal evaluation of the Company's billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $1.8 million to the government in March 2014. As of December 31, 2017, the Company, using its best judgment, has estimated a total of $0.2 million for billing adjustments for 2013 and 2012 which may be subject to Medicare audits. For the years ended December 31, 2017, 2016 and 2015, the Company reduced the indemnification reserve accrual by the amounts accrued for periods no longer subject to Medicare audits of $0.2 million, $0.2 million and $0.4 million, respectively. This amount is reflected as a reduction in general and administrative expense of discontinued operations and reflected in the table below.

The following table presents the net service revenues and earnings attributable to discontinued operations, which include the financial results for the years ended December 31, 2017, 2016 and 2015:


		2017		2016		2015
		(Amounts in Thousands)
Net service revenues	$	—	$	—	$	—
Income before income taxes		245		163		448
Income tax expense		98		66		178
Net income from discontinued operations	$	147	$	97	$	270

Acquisitions

12 Months Ended

Dec. 31, 2017

Acquisitions [Abstract]

Acquisitions

5. Acquisitions

Effective October 1, 2017, the Company acquired certain assets of Community Partnered Resources, Inc. d/b/a Sun Cities Caregivers and d/b/a Sun Cities Homecare ('Sun Cities"), in the State of Arizona, to enhance operations in an advantageous market. The total consideration for the transaction was comprised of $2.3 million in cash. The related acquisition costs, included in general and administrative expenses on the Consolidated Statements of Income, were $0.1 million and were expensed as incurred. The results of operations from this acquired entity are included in the Company's Consolidated Statements of Income from the date of the acquisition.

The Company's acquisition of Sun Cities has been accounted for in accordance with ASC Topic 805, "Business Combinations," and the resulting goodwill and other intangible assets was accounted for under ASC Topic 350, " Goodwill and Other Intangible Assets." The acquisition was recorded at its fair value as of October 1, 2017. Under business combination accounting, the Sun Cities Purchase Price was $2.3 million and was allocated to Sun Cities's net tangible and identifiable intangible assets based on their estimated fair values. Based upon management's valuation, the total purchase price has been allocated as follows:


		Total
		(Amounts in
		Thousands)
Goodwill	$	1,103
Identifiable intangible assets		682
Accounts receivable		240
Cash		321
Other assets		10
Accrued liabilities		(86	)
Accounts payable		(14	)
Total purchase price allocation	$	2,256

Management's assessment of qualitative factors affecting goodwill for Sun Cities includes: estimates of market share at the date of purchase; ability to grow in the market; synergy with existing Company operations; and the presence of managed care payors in the market.

Identifiable intangible assets acquired consist of trade name and customer relationships (see Note 1 for estimated useful lives of the Company's identifiable intangible assets). The estimated fair value of identifiable intangible assets was determined, using Level 3 inputs as defined under ASC Topic 820, with the assistance of a valuation specialist. The goodwill and intangible assets acquired are deductible for tax purposes.

The Sun Cities acquisition accounted for $0.7 million of net service revenues and $14.8 thousand of net income for the year ended December 31, 2017.

On April 24, 2017, the Company entered into a definitive securities purchase agreement with HB Management Group, Inc. to purchase Options Services, Inc. d/b/a Options Home Care ("Options Home Care"). On August 1, 2017, the Company completed its acquisition of all the outstanding securities of Options Home Care for a total purchase price of $22.6 million (the "Options Purchase Price"). Options Home Care is a provider of personal care services in more than 20 counties in New Mexico and the acquisition expands the footprint of the Company's existing operations in the state. The related acquisition costs, included in general and administrative expenses on the Company's Consolidated Statements of Income, were $0.7 million and were expensed as incurred. The results of Options Home Care are included on the Company's Consolidated Statements of Income from the date of the acquisition.

The Company's acquisition of Options Home Care has been accounted for in accordance with ASC Topic 805, "Business Combinations," and the resulting goodwill and other intangible assets was accounted for under ASC Topic 350, " Goodwill and Other Intangible Assets." The acquisition was recorded at its fair value as of August 1, 2017. Under business combination accounting, the Options Purchase Price was $22.6 million and was allocated to Options Home Care's net tangible and identifiable intangible assets based on their estimated fair values. Based upon management's valuation, the total purchase price has been allocated as follows:


		Total
		(Amounts in
		Thousands)
Goodwill	$	16,754
Identifiable intangible assets		5,324
Accounts receivable		995
Cash		205
Other assets		41
Accrued liabilities		(695	)
Total purchase price allocation	$	22,624

Management's assessment of qualitative factors affecting goodwill for Options Home Care includes: estimates of market share at the date of purchase; ability to grow in the market; synergy with existing Company operations; and the presence of managed care payors in the market.

The Options Home Care acquisition accounted for $8.0 million of net service revenues and $0.5 million of net income for the year ended December 31, 2017.

The following table contains unaudited pro forma condensed consolidated income statement information of the Company had the acquisition of Sun Cities and Options Home Care closed on January 1, 2016.


		For the Years Ended
		December 31,
		(Amounts in Thousands)
		2017		2016
Net service revenues	$	441,858	$	425,704
Operating income from continuing operations		28,103		15,575
Net income from continuing operations		15,010		12,196
Earnings from discontinued operations, net of tax		147		97
Net income	$	15,157	$	12,293
Net income per common share
Basic income per share
Continuing operations	$	1.31	$	1.08
Discontinued operations		0.01		0.01
Basic income per share	$	1.32	$	1.09
Diluted income per share
Continuing operations	$	1.29	$	1.07
Discontinued operations		0.01		0.01
Diluted income per share	$	1.30	$	1.08

The pro forma disclosures in the table above include adjustments for amortization of intangible assets, tax expense, and acquisition costs to reflect results that are more representative of the combined results of the transactions as if Sun Cities and Options Home Care had been acquired effective January 1, 2016. This pro forma information is presented for illustrative purposes only and may not be indicative of the results of operations that would have actually occurred. In addition, future results may vary significantly from the results reflected in the pro forma information. The unaudited pro forma financial information does not reflect the impact of future events that may occur after the acquisition, such as anticipated cost savings from operating synergies.

Effective February 23, 2016, the Company acquired certain assets of Lutheran Social Services of Illinois ("LSSI") for approximately $0.1 million. The results of operations from the acquisition of LSSI are included in the Company's Consolidated Statements of Income from the date of the acquisition. The LSSI acquisition accounted for $0.2 million of net service revenues and $49.3 thousand of net loss from continuing operations for the year ended December 31, 2017 and $1.0 million of net service revenues and $0.1 million of net income from continuing operations for the year ended December 31, 2016. In order to focus on providing services to consumers in their homes, effective March 1, 2017, Addus ceased providing adult day services and sold substantially all of the assets used in our adult day services centers, including LSSI.

On April 24, 2015, Addus HealthCare entered into a Securities Purchase Agreement with Margaret Coffey and Carol Kolar (the "South Shore Sellers"), South Shore Home Health Service Inc. ("South Shore") and Acaring Home Care, LLC ("Acaring"), pursuant to which Addus HealthCare agreed to acquire all of the issued and outstanding securities of each of South Shore and Acaring. On February 5, 2016, Addus HealthCare completed its acquisition of all the outstanding securities of South Shore and Acaring for a total purchase price of $20.0 million (the "South Shore Purchase Price"). The related acquisition costs, included in general and administrative expenses on the Consolidated Statements of Income, were $1.3 million and were expensed as incurred. The results of operations from South Shore and Acaring are included in the Company's Consolidated Statements of Income from the date of the acquisition. Acaring was dissolved on March 1, 2016, and its assets were transferred to South Shore.

The Company's acquisition of South Shore and Acaring has been accounted for in accordance with ASC Topic 805, "Business Combinations, " and the resulting goodwill and other intangible assets was accounted for under ASC Topic 350 " Goodwill and Other Intangible Assets ." The acquisition was recorded at its fair value as of February 5, 2016. Under business combination accounting, the South Shore Purchase Price was $20.0 million and was allocated to South Shore's net tangible and identifiable intangible assets based on their estimated fair values. Based upon management's valuation, the total purchase price has been allocated as follows:


		Total
		(Amounts in
		Thousands)
Goodwill	$	5,265
Identifiable intangible assets		9,957
Accounts receivable		6,807
Other current assets		858
Accrued liabilities		(1,593	)
Accounts payable		(1,268	)
Total purchase price allocation	$	20,026

Management's assessment of qualitative factors affecting goodwill for South Shore includes: estimates of market share at the date of purchase; ability to grow in the market; synergy with existing Company operations and the presence of managed care payors in the market.

Identifiable intangible assets acquired consist of trade names and trademarks, customer relationships and non-compete agreements. The estimated fair value of identifiable intangible assets was determined, using Level 3 inputs as defined under ASC Topic 820, by the Company's management. The net intangible and identifiable intangible assets, including goodwill, are deductible for tax purposes.

The South Shore acquisition accounted for $58.4 million of net service revenues and $0.2 million net income from continuing operations for the year ended December 31, 2017 and $51.7 million of net service revenues and $0.8 million net loss from continuing operations for the year ended December 31, 2016.

Effective November 9, 2015, the Company acquired certain assets of Five Points Healthcare of Virginia, LLC ("Five Points"), in order to further expand the Company's presence in the State of Virginia. The total consideration for the transaction was comprised of $4.1 million in cash. The related acquisition costs, included in general and administrative expenses on the Consolidated Statements of Income, were $0.4 million and were expensed as incurred. The results of operations from this acquired entity are included in the Company's Consolidated Statements of Income from the date of the acquisition.

The Company's acquisition of Five Points has been accounted for in accordance with ASC Topic 805, "Business Combinations," and the resulting goodwill and other intangible assets was accounted for under ASC Topic 350 "Goodwill and Other Intangible Assets." The acquisition of Five Points was recorded at its fair value as of November 9, 2015. The total purchase price was $4.1 million. Under business combination accounting, the total purchase price was allocated to Five Points' net tangible and identifiable intangible assets based on their estimated fair values. Based upon management's valuation, the total purchase price has been allocated as follows:


		Total
		(Amounts in
		Thousands)
Goodwill	$	2,885
Identifiable intangible assets		920
Accounts receivable		472
Accrued liabilities		(155	)
Accounts payable		(7	)
Total purchase price allocation	$	4,115

Management's assessment of qualitative factors affecting goodwill for Five Points includes: estimates of market share at the date of purchase; ability to grow in the market; synergy with existing Company operations and the presence of managed care payors in the market.

Identifiable intangible assets acquired consist of trade names and trademarks, customer relationships and non-compete agreements. The estimated fair value of identifiable intangible assets was determined, using Level 3 as defined under ASC Topic 820, inputs by the Company's management. The net intangible and identifiable intangible assets, including goodwill, are deductible for tax purposes.

The Five Points acquisition accounted for $2.9 million of net service revenues and $0.3 million of net loss from continuing operations for the year ended December 31, 2017, $4.1 million of net service revenues and $30.6 thousand of net income from continuing operations for the year ended December 31, 2016 and $0.7 million of net service revenues and $18.1 thousand of net loss from continuing operations for the year ended December 31, 2015.

Effective January 1, 2015, the Company acquired Priority Home Health Care, Inc. ("PHHC"), in order to further expand the Company's presence in the State of Ohio. The total consideration for the transaction was comprised of $4.3 million in cash. The related acquisition costs, included in general and administrative expenses on the Consolidated Statements of Income, were $0.5 million and were expensed as incurred. The results of operations from this acquired entity are included in the Company's Consolidated Statements of Income from the date of the acquisition.

The Company's acquisition of PHHC has been accounted for in accordance with ASC Topic 805, "Business Combinations," and the resultant goodwill and other intangible assets will be accounted for under ASC Topic 350 "Goodwill and Other Intangible Assets ." The acquisition was recorded at its fair value as of January 1, 2015. The total purchase price is $4.3 million. Under business combination accounting, the total purchase price was allocated to PHHC's net tangible and identifiable intangible assets based on their estimated fair values. Based upon management's valuation, the total purchase price has been allocated as follows:


		Total
		(Amounts in
		Thousands)
Goodwill	$	1,862
Identifiable intangible assets		1,930
Accounts receivable		951
Furniture, fixtures and equipment		58
Other current assets		8
Accrued liabilities		(339	)
Accounts payable		(220	)
Total purchase price allocation	$	4,250

Management's assessment of qualitative factors affecting goodwill for PHHC includes: estimates of market share at the date of purchase; ability to grow in the market; synergy with existing Company operations and the presence of managed care payors in the market.

Identifiable intangible assets acquired consist of trade names and trademarks, customer relationships and non-compete agreements. The estimated fair value of identifiable intangible assets was determined, using Level 3 as defined under ASC Topic 820, inputs by the Company's management. The net intangible and identifiable intangible assets, including goodwill, are deductible for tax purposes.

The PHHC acquisition accounted for $6.4 million of net service revenues and $0.1 million of net loss from continuing operations for the year ended December 31, 2017, $7.5 million of net service revenues and $0.3 million of net income from continuing operations for the year ended December 31, 2016 and $9.0 million of net service revenues and $0.1 million of net income from continuing operations for the year ended December 31, 2015.

For the acquisition of Cura Partners, LLC, which conducts business under the name Aid & Assist at Home, LLC ("Aid & Assist") on June 1, 2014, a contingent earn-out obligation was recorded at its fair value of $1.0 million, which was the present value of the Company's obligation to pay up to $1.2 million based on probability-weighted estimates of the achievement of certain performance targets, as defined in the earn-out agreement between the parties. As of December 31, 2014, the Company revalued this liability at $0.2 million. As of December 31, 2016 and 2015, based on its valuations, the Company believed a liability did not exist for this contingent earn-out obligation. These declines in the fair value of the contingent earn-out obligation reflected the acquisition's failure to achieve performance targets expected at the date of acquisition for 2014, 2015 and 2016. The contingent earn-out obligation expired December 31, 2016.

For the acquisition of Coordinated Home Health Care, LLC on December 1, 2013, a contingent earn-out obligation was recorded at its fair value of $1.1 million, which was the present value of the Company's obligation to pay up to $2.3 million based on probability-weighted estimates of the achievement of certain performance targets, as defined in the earn-out agreement between the parties. As of December 31, 2014, the Company revalued this liability at $1.9 million. This increase in the fair value of the contingent earn-out obligation reflected the acquisition's excess achievement of performance targets for the year ended December 31, 2014 as a result of higher than anticipated rate of conversion to managed care organizations in the State of New Mexico. $1.0 million of the liability, which was recorded as the current portion at December 31, 2014, was subsequently paid during the second quarter of 2015. As of December 31, 2015, the remaining contingent earn-out obligation was recorded at its fair value of $1.3 million which was the maximum earn-out obligation based on probability-weighted estimates of the achievement of certain performance targets, as defined in the earn-out agreement between the parties. The obligation was paid during the second quarter of 2016. The contingent earn-out obligation expired December 31, 2015.

Property And Equipment

12 Months Ended

Dec. 31, 2017

Property And Equipment [Abstract]

Property and Equipment

6. Property and Equipment

Property and equipment consisted of the following:


	December 31,
		2017			2016
	(Amounts in Thousands)
Computer equipment	$	2,770		$	3,807
Furniture and equipment		3,392			3,146
Transportation equipment		152			898
Leasehold improvements		2,749			3,551
Computer software		3,269			5,419
		12,332			16,821
Less: accumulated depreciation and amortization		(4,843	)		(10,173	)
	$	7,489		$	6,648

Computer software includes $1.0 million of internally developed software. Depreciation and amortization expense predominantly related to computer equipment and software and leasehold improvements totaled $2.0 million, $1.7 million and $1.7 million for the years ended December 31, 2017, 2016 and 2015, respectively.

Goodwill and Intangible Assets

12 Months Ended

Dec. 31, 2017

Goodwill and Intangible Assets [Abstract]

Goodwill and Intangible Assets

7. Goodwill and Intangible Assets

The Company did not record any impairment charges for the years ended December 31, 2017, 2016, or 2015. The goodwill for the Company was $90.3 million and $72.7 million as of December 31, 2017 and 2016, respectively.

A summary of goodwill and related adjustments is provided below:


		Goodwill
		(Amounts in
		Thousands)
Goodwill, at December 31, 2015	$	67,626
Additions for acquisitions		5,265
Adjustments to previously recorded goodwill		(203	)
Goodwill, at December 31, 2016		72,688
Additions for acquisitions		17,857
Adjustments to previously recorded goodwill		(206	)
Goodwill, at December 31, 2017	$	90,339

Adjustments to the previously recorded goodwill are primarily credits related to amortization of tax goodwill in excess of book basis.

The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to twenty-five years.

The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following at December 31, 2017 and 2016:


		Customer			Trade
		and referral			names and			Non-competition
		relationships			trademarks			agreements			Total
					(Amounts in Thousands)
Gross balance at January 1, 2016	$	29,872		$	8,161		$	2,098		$	40,131
Additions for acquisitions		4,800			5,100			57			9,957
Accumulated amortization		(26,766	)		(6,296	)		(1,763	)		(34,825	)
Net Balance at December 31, 2016		7,906			6,965			392			15,263
Gross balance at January 1, 2017		34,672			13,261			2,155			50,088
Other		(281	)		—			—			(281	)
Additions for acquisitions		4,626			1,380			—			6,006
Accumulated amortization		(29,147	)		(8,198	)		(1,872	)		(39,217	)
Net Balance at December 31, 2017	$	9,870		$	6,443		$	283		$	16,596

Amortization expense related to the identifiable intangible assets amounted to $4.7 million, $4.9 million and $3.0 million for the years ended December 31, 2017, 2016 and 2015, respectively. Goodwill and state licenses are not amortized pursuant to ASC Topic 350.

The weighted average remaining lives of identifiable intangible assets as of December 31, 2017 is 6.5 years.

The estimated future intangible amortization expense is as follows:


		Total
		(Amount in
For the year ended December 31,		Thousands)
2018	$	4,919
2019		3,662
2020		2,345
2021		1,925
2022		965
Thereafter		2,780
Total	$	16,596

- Definition

The entire disclosure for the aggregate amount of goodwill and a description of intangible assets, which may include (a) for amortizable intangible assets (also referred to as finite-lived intangible assets), the carrying amount, the amount of any significant residual value, and the weighted-average amortization period, (b) for intangible assets not subject to amortization (also referred to as indefinite-lived intangible assets), the carrying amount, and (c) the amount of research and development assets acquired and written off in the period, including the line item in the income statement in which the amounts written off are aggregated, if not readily apparent from the income statement. Also discloses (a) for amortizable intangibles assets in total and by major class, the gross carrying amount and accumulated amortization, the total amortization expense for the period, and the estimated aggregate amortization expense for each of the five succeeding fiscal years, (b) for intangible assets not subject to amortization the carrying amount in total and by major class, and (c) for goodwill, in total and for each reportable segment, the changes in the carrying amount of goodwill during the period (including the aggregate amount of goodwill acquired, the aggregate amount of impairment losses recognized, and the amount of goodwill included in the gain (loss) on disposal of a reporting unit). If any part of goodwill has not been allocated to a reportable segment, discloses the unallocated amount and the reasons for not allocating. For each impairment loss recognized related to an intangible asset (excluding goodwill), discloses: (a) a description of the impaired intangible asset and the facts and circumstances leading to the impairment, (b) the amount of the impairment loss and the method for determining fair value, (c) the caption in the income statement or the statement of activities in which the impairment loss is aggregated, and (d) the segment in which the impaired intangible asset is reported. For each goodwill impairment loss recognized, discloses: (a) a description of the facts and circumstances leading to the impairment, (b) the amount of the impairment loss and the method of determining the fair value of the associated reporting unit, and (c) if a recognized impairment loss is an estimate not finalized and the reasons why the estimate is not final. May also disclose the nature and amount of any significant adjustments made to a previous estimate of an impairment loss.

+ References + Details

Details of Certain Balance Sheet Accounts

12 Months Ended

Dec. 31, 2017

Details of Certain Balance Sheet Accounts [Abstract]

Details of Certain Balance Sheet Accounts

8. Details of Certain Balance Sheet Accounts

Prepaid expenses and other current assets consist of the following:


		December 31,
		2017		2016
		(Amounts in Thousands)
Prepaid health insurance	$	2,901	$	2,238
Prepaid workers' compensation and liability insurance		1,332		1,190
Prepaid rent		555		568
Workers' compensation insurance receivable		543		747
Other		3,048		1,255
	$	8,379	$	5,998

Accrued expenses consisted of the following:



		December 31,
		2017		2016
		(Amounts in Thousands)
Accrued payroll	$	19,783	$	17,509
Accrued workers' compensation insurance		12,574		12,823
Accrued health insurance (1)		6,471		4,092
Indemnification reserve (2)		174		419
Accrued payroll taxes		1,065		1,747
Accrued professional fees		1,312		1,485
Accrued severance		562		1,326
Accrued restructuring (3)		1,077		1,786
Other		1,782		1,416
	$	44,800	$	42,603

(1)	The Company provides health insurance coverage to qualified union employees providing personal care services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company's insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five business days from the date the funds are received from the State. Amounts due of $2.3 million and $2.2 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance at December 31, 2017 and 2016, respectively.
(2)	As a condition of the sale of the Home Health Business to subsidiaries of LHCG the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing of the sale. The Company has estimated a total of $0.2 million for billing adjustments for 2013 and 2012 services which may be subject to Medicare audits. For the years ended December 31, 2017 and 2016, the Company reduced the indemnification reserve accrual by the amounts accrued for periods no longer subject to Medicare audits of $0.2 million and $0.2 million, respectively. This amount is reflected as a reduction in general and administrative expense of discontinued operations.
(3)	Accrued restructuring includes reserves for lease commitments related to the closure of three adult day services centers in Illinois during the third quarter of 2016 and unused contact center office space.

The Company's workers' compensation program has a $0.4 million deductible component. The Company recognizes its obligations associated with this program in the period the claim is incurred. The cost of both the claims reported and claims incurred but not reported, up to the deductible, have been accrued based on historical claims experience, industry statistics and an actuarial analysis performed by an independent third party. The future claims payments related to the workers' compensation program are secured by letters of credit. These letters of credit totaled $11.8 million and $16.7 million at December 31, 2017 and 2016.

Long-Term Debt

12 Months Ended

Dec. 31, 2017

Long-Term Debt [Abstract]

Long-Term Debt

9. Long-Term Debt

Long-term debt consisted of the following:


		December 31,			December 31,
		2017			2016
	(Amounts in Thousands)
Term loan under the new credit facility	$	44,438		$	—
Term loan under the terminated credit facility		—			24,063
Capital leases		1,002			2,433
Less unamortized issuance costs		(2,481	)		(1,483	)
Total	$	42,959		$	25,013
Less current maturities		(3,099	)		(2,531	)
Long-term debt	$	39,860		$	22,482

In accordance with ASU 2015-03, "Simplifying the Presentation of Debt Issuance Costs," the Company has classified the debt issuance costs as current portion of long-term debt or long-term debt, less current portion as of December 31, 2017 and 2016.

Capital Leases

On July 12, 2014, September 11, 2014 and April 13, 2015, the Company executed three 48-month capital lease agreements for $2.7 million, $1.4 million and $0.4 million, respectively, with First American Commercial Bancorp, Inc. The capital leases were entered into to finance property and equipment at the Company's support center in Downers Grove, IL. The underlying assets are included in "Property and equipment, net of accumulated depreciation and amortization" in the accompanying Consolidated Balance Sheets. These capital lease obligations require monthly payments through September 2019 and have implicit interest rates that range from 3.0% to 3.6%. At the end of the term, the Company has the option to purchase the assets for $1 per lease agreement.

Effective October 1, 2016, the Company entered into a 25-month capital lease agreement for $0.6 million with Meridian Leasing Corporation. The capital leases were entered into to finance property and equipment for the Company's telephone systems. The underlying assets are included in "Property and equipment, net of accumulated depreciation and amortization" in the accompanying Consolidated Balance Sheets. These capital lease obligations require monthly payments through October 2018 and have an implicit interest rate of 11.1%. At the end of the term, the Company has the option to purchase the assets for $1 per lease agreement.

An analysis of the leased property under capital leases by major classes is as follows.


		Asset Balances at
		December 31, 2017
Classes of Property		(Amounts in Thousands)
Leasehold improvements	$	1,485
Furniture and equipment		868
Computer equipment		635
Computer software		303
Total		3,291
Less: accumulated depreciation		(1,333	)
	$	1,958

The future minimum payments for capital leases as of December 31, 2017 are as follows:


		Capital Lease
		(Amounts In Thousands)
2018	$	1,026
2019		30
Total minimum lease payments		1,056
Less: amount representing estimated executory costs (such as taxes,
maintenance and insurance), including profit thereon, included in total
minimum lease payments		(30	)
Net minimum lease payments		1,026
Less: amount representing interest (1)		(24	)
Present value of net minimum lease payments (2)	$	1,002

_________________

(1)	Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception.
(2)	Included in the balance sheet as $974.4 thousand of the current portion of long-term debt and $27.8 thousand of the long-term debt, less current portion.

Senior Secured Credit Facility

On May 8, 2017, the Company entered into a new credit facility and credit agreement (the "Credit Agreement") with certain lenders and Capital One, N.A., as a lender and swing lender and as agent for all lenders. This new credit facility totals $250.0 million, replaces the Company's Terminated Senior Secured Credit Facility totaling $125.0 million with certain lenders and Fifth Third Bank as agent ("Terminated Senior Secured Credit Facility", see description below for more details), and terminates the Company's Second Amended and Restated Credit and Guaranty Agreement, dated as of November 10, 2015. The new credit facility includes a $125.0 million revolving loan, a $45.0 million term loan and an $80.0 million delayed draw term loan. The maturity of the new credit facility is five years, although the delayed draw term loan is only available until November 8, 2018. Under the terms of an accordion feature of the Credit Agreement, $100.0 million is also available for incremental term loans. Fundings under the delayed draw term loans and the incremental term loans are limited to financing or refinancing Permitted Acquisitions (as defined in the Credit Agreement). The availability of additional draws under the revolving credit portion of the Company's new credit facility is conditioned, among other things, upon (after giving effect to such draws) the ratio of Consolidated Total Indebtedness (as defined in the Credit Agreement), less subordinated indebtedness, to Consolidated Adjusted EBITDA (as defined in the Credit Agreement) not exceeding 4.25:1.00. In connection with the new credit facility, the Company incurred $2.8 million of debt issuance costs.

Addus HealthCare is the borrower under the Credit Agreement, with Holdings, and substantially all of Holdings' subsidiaries as guarantors under the new credit facility. The new credit facility is secured by a first priority security interest in all of the Company's and the other credit parties' current and future tangible and intangible assets, including the shares of stock of the borrower and subsidiaries.

Interest on the Company's new credit facility may be payable at (x) the sum of (i) an applicable margin ranging from 1.50% to 2.25% based on the applicable senior leverage ratio (provided that the applicable margin will be 1.50% through approximately November 1, 2017) plus (ii) a base rate equal to the greatest of (a) the rate of interest last quoted by The Wall Street Journal as the "prime rate," (b) the sum of the federal funds rate plus a margin of 0.50% and (c) the sum of the adjusted LIBOR that would be applicable to a loan with an interest period of one month advanced on the applicable day (not to be less than 0.00%) plus a margin of 1.00% or (y) the sum of (i) an applicable margin ranging from 2.50% to 3.25% based on the applicable leverage ratio (provided that the applicable margin will be 2.50% through approximately November 30, 2017) plus (ii) the offered rate per annum for the applicable interest period that appears on Reuters Screen LIBOR01 Page. Swing loans may not be LIBOR loans.

The Company pays a fee ranging from 0.25% to 0.50% based on the applicable leverage ratio times the unused portion of the revolving portion of the new credit facility (provided that the fee will be 0.25% through approximately November 30, 2017).

In July 2017, the Company drew a total of $30.0 million on the revolving credit line under the new credit facility primarily to fund the acquisition of Options Home Care. The Company repaid the balance in August 2017. As of December 31, 2017, the Company had a total of $44.4 million of term loans outstanding with an interest rate of 3.86% on the new credit facility and the total availability under the revolving credit loan facility was $105.1 million.

The Credit Agreement contains customary affirmative covenants regarding, among other things, the maintenance of records, compliance with laws, maintenance of permits, maintenance of insurance and property and payment of taxes. The Credit Agreement also contains certain customary financial covenants and negative covenants that, among other things, include a requirement to maintain a minimum fixed charge coverage ratio, a requirement to stay below a maximum senior leverage ratio and a requirement to stay below a maximum permitted amount of capital expenditures, as well as restrictions on guarantees, indebtedness, liens, investments and loans, subject to customary carve outs, a restriction on dividends (provided that Addus HealthCare may make distributions to us in an amount that does not exceed $5.0 million in any year absent of an event of default, plus limited exceptions for tax and administrative distributions), a restriction on the ability to consummate any individual acquisition or a series of related acquisitions with total consideration paid or payable in excess of $60.0 million and consummating acquisitions with total consideration paid or payable in excess of $80.0 million in the aggregate in any fiscal year (in each case, without the consent of the lenders), restrictions on mergers, dispositions of assets, and affiliate transactions, and restrictions on fundamental changes and lines of business. As of December 31, 2017, the Company was in compliance with all of its Credit Agreement covenants.

Terminated Senior Secured Credit Facility

Prior to May 8, 2017, the Company was a party to the Terminated Senior Secured Credit Facility with certain lenders and Fifth Third Bank, as agent and letters of credit issuer. The Terminated Senior Secured Credit Facility provided a $100.0 million revolving line of credit, a delayed draw term loan facility of up to $25.0 million and an uncommitted incremental term loan facility of up to $50.0 million, which was to expire on November 10, 2020 and included a $35.0 million sublimit for the issuance of letters of credit. The Terminated Senior Secured Credit Facility increased the specified advance multiple from 3.25 to 3.75 to 1.00 and the maximum permitted senior leverage ratio from 3.50 to 4.00 to 1.00. Except as modified by the May 24, 2016, amendment, the Terminated Senior Secured Credit Facility contained the same material terms as the previous agreement dated November 10, 2015. Substantially all of the subsidiaries of Holdings were co-borrowers, and Holdings had guaranteed the borrowers' obligations under the Terminated Senior Secured Credit Facility. The Terminated Senior Secured Credit Facility was secured by a first priority security interest in all of Holdings' and the borrowers' then and future tangible and intangible assets, including the shares of stock of the borrowers.

The availability of funds under the revolving credit portion of the Company's Terminated Senior Secured Credit Facility was based on the lesser of (i) the product of adjusted EBITDA, as defined in the Company's terminated credit agreement, for the most recent 12-month period for which financial statements had been delivered under the credit agreement multiplied by the specified advance multiple, up to 3.75, less the outstanding senior indebtedness and letters of credit, and (ii) $100.0 million less the outstanding revolving loans and letters of credit. Interest on the Company's Terminated Senior Secured Credit Facility might have been payable at (x) the sum of (i) an applicable margin ranging from 2.00% to 2.50% based on the applicable leverage ratio plus (ii) a base rate equal to the greatest of (a) the rate of interest last quoted by The Wall Street Journal as the "prime rate," (b) the sum of the federal funds rate plus a margin of 0.50% and (c) the sum of the adjusted LIBOR that would have been applicable to a loan with an interest period of one month advanced on the applicable day plus a margin of 3.00% or (y) the sum of (i) an applicable margin ranging from 3.00% to 3.50% based on the applicable leverage ratio plus (ii) the adjusted LIBOR that would have been applicable to a loan with an interest period of one, two or three months advanced on the applicable day or (z) the sum of (i) an applicable margin ranging from 3.00% to 3.50% based on the applicable leverage ratio plus (ii) the daily floating LIBOR that would have been applicable to a loan with an interest period of one month advanced on the applicable day. We paid a fee ranging from 0.25% to 0.50% per annum based on the applicable leverage ratio times the unused portion of the revolving portion of the Terminated Senior Secured Credit Facility. Issued stand-by letters of credit were charged at a rate equal to the applicable margin for LIBOR loans payable quarterly.

On May 8, 2017, the Company repaid the outstanding debt balance of $23.8 million together with accrued interest of $0.1 million and terminated the Terminated Senior Secured Credit Facility. In connection with the termination, the Company wrote off the unamortized debt issuance costs under the Terminated Senior Secured Credit Facility in the amount of $1.3 million, which was included in interest expense on the Company's Consolidated Statements of Income.

For the period January 1, 2017 through May 7, 2017, the Company drew and subsequently repaid $20.0 million of the Company's revolving credit line to fund operations. As of December 31, 2016, the Company had a total of $24.1 million outstanding on the Terminated Senior Secured Credit Facility and the total availability under the revolving credit loan facility was $79.7 million.

Income Taxes

12 Months Ended

Dec. 31, 2017

Income Taxes [Abstract]

Income Taxes

10. Income Taxes

The current and deferred federal and state income tax provision from continuing operations, are comprised of the following:


				December 31,
		2017		2016			2015
				(Amounts in Thousands)
Current
Federal	$	5,782	$	4,400		$	2,743
State		1,069		908			528
Deferred
Federal		1,672		(1,147	)		546
State		66		(167	)		115
Provision for income taxes	$	8,589	$	3,994		$	3,932

The tax effects of certain temporary differences between the Company's book and tax bases of assets and liabilities give rise to significant portions of the deferred income tax assets at December 31, 2017 and 2016. The deferred tax assets consisted of the following:


		December 31,
		2017			2016
		(Amounts in
		Thousands)
Deferred tax assets
Long-term
Accounts receivable allowances	$	2,917		$	2,960
Accrued compensation		1,919			2,733
Accrued workers' compensation		3,274			4,854
Transaction costs		898			1,137
Reserves		47			169
Restructuring costs		293			718
Stock-based compensation		811			799
Other		138			524
Total long-term deferred tax assets		10,297			13,894
Deferred tax liabilities
Long-term
Goodwill and intangible assets		(7,301	)		(9,506	)
Property and equipment		(749	)		(552	)
Prepaid insurance		(359	)		(478	)
Other		(1	)		(3	)
Total long-term deferred tax liabilities		(8,410	)		(10,539	)
Valuation allowance		(286	)		—
Total net deferred tax assets	$	1,601		$	3,355

Management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers projected future taxable income in making this assessment.

A reconciliation for continuing operation of the statutory federal tax rate of 35.0%, 35.0% and 34.5% and to the effective income tax rate, for the years ended December 31, 2017, 2016, and 2015, is summarized as follows:


	December 31,
	2017		2016		2015
Federal income tax at statutory rate	35.0	%	35.0	%	34.5	%
State and local taxes, net of federal benefit	5.1		5.2		5.2
Jobs tax credits, net	(6.1	)	(15.8	)	(11.1	)
Nondeductible permanent items	0.4		0.9		0.5
2017 Tax Reform Act, deferred tax assets rate changes	5.3		—		—
Other	(0.7	)	(0.2	)	(3.4	)
Effective income tax rate	39.0	%	25.1	%	25.7	%

In December 2017, the Securities and Exchange Commission issued Staff Accounting Bulletin No. 118, "Income Tax Accounting Implications of the Tax Cuts and Job Act," ("SAB 118") to address the application of GAAP in situations when a registrant does not have the necessary information available, prepared, or analyzed (including computations) in reasonable detail to complete the accounting for certain income tax effects of the Tax Reform Act. Additional work is necessary for a more detailed analysis of our deferred tax assets and liabilities as well as potential correlative adjustments. During the measurement period, impacts of the law are expected to be recorded at the time a reasonable estimate for all or a portion of the effects can be made and provisional amounts can be recognized and adjusted as information becomes available, prepared or analyzed.

The Company is subject to taxation in the jurisdictions in which it operates. The Company continues to remain subject to examination by U.S. federal authorities for the years 2014 through 2017 and for various state authorities for the years 2013 through 2017.

At December 31, 2017 and 2016, the Company did not have any unrecognized tax benefits under ASC Topic 740.

Stock Options And Restricted Stock Awards

12 Months Ended

Dec. 31, 2017

Stock Options And Restricted Stock Awards [Abstract]

Stock Options And Restricted Stock Awards

11. Stock Options and Restricted Stock Awards

The Board approved the 2017 Omnibus Incentive Plan ("the 2017 Plan") as of April 27, 2017, which was approved by our shareholders on June 14, 2017. The 2017 Plan was intended to replace our existing incentive compensation plan, the 2009 Stock Incentive Plan. Outstanding awards under the 2009 Plan will continue to be governed by the 2009 Plan and the agreements under which they were granted. The 2009 Plan authorized the issuance of up to 1,500,000 shares of the Company's stock.

The 2017 Plan, like the 2009 Plan, allows us to grant performance-based incentive awards and equity-based awards (each an "Award") to eligible employees, directors and consultants in the form of Stock Options, Stock Appreciation Rights, Restricted Stock, Deferred Stock Units/Restricted Stock Units, Other Stock Units or Performance Awards. The Board believes that the 2017 Plan is necessary to continue the Company's effectiveness in attracting, motivating and retaining employees, directors and consultants with appropriate experience and to increase the grantees' alignment of interest with the shareholders.

Under the 2017 Plan, Awards may be made in shares of our common stock. Subject to adjustment as provided by the terms of the 2017 Plan, the maximum aggregate number of shares of common stock with respect to which awards may be granted under the 2017 Plan will be 1,182,270, less the number of shares subject to awards that are granted pursuant to the 2009 Plan after March 31, 2017. The aggregate awards granted during any calendar year to any single Participant cannot exceed (i) 500,000 shares subject to stock options or stock appreciation rights ("SARs") or (ii) 300,000 shares subject to Awards denominated in shares of common stock (whether or not settled in common stock). These individual annual limitations are cumulative in that any shares of common stock or cash for which Awards are permitted to be granted to a Participant during a fiscal year are not covered by an Award in that fiscal year, the number of shares of common stock will automatically increase in the subsequent fiscal years during the term of the 2017 Plan until the earlier of the time the increase has been granted to the Participant, or the end of the third fiscal year following the year to which such increase relates.

Any shares of common stock subject to an Award under the 2017 Plan that are forfeited, canceled, settled in cash or otherwise terminated without a distribution of shares to a participant, or that are delivered by attestation or withheld by the Company in connection with an option exercise or the payment of any required income tax withholding upon an option exercise or the vesting of restricted stock, will be deemed available for Awards under the 2017 Plan. Additionally, any shares of common stock subject to an Award under the 2009 Plan that are forfeited, canceled, settled in cash or otherwise terminated without a distribution of shares to a participant, or that are delivered by attestation or withheld by the Company in connection with an option exercise or the payment of any required income tax withholding upon an option exercise or the vesting of restricted stock, will be deemed available for Awards under the 2017 Plan.

Stock options were awarded with a strike price at the fair market value equal to the closing price of our common stock on the date of grant for both the 2009 and 2017 Plans. Options granted under the 2009 and 2017 Plans typically vest over a service period ranging from three to four years and expire ten years from the date of grant. Restricted shares granted under the 2009 and 2017 Plans typically vest over a service period ranging from one to four years and expire ten years from date of grant.

The exercise price of stock options outstanding on December 31, 2017 range from $4.62 to $34.85. Restricted stock awards are full-value awards. There were 1.1 million shares available for grant under the 2017 Plan at December 31, 2017.

Stock Options

A summary of stock option activity and weighted average exercise price is as follows:


	For The Year Ended December 31,
	2017
	Options			Weighted
	(Amounts in			Average
	Thousands)			Exercise Price
Outstanding, beginning of period	405		$	19.71
Granted	154			34.32
Exercised	(51	)		22.60
Forfeited/Cancelled	(29	)		23.61
Outstanding, end of period	479		$	23.91

The weighted-average estimated fair value of employee stock options granted as calculated using the Black-Scholes Option Pricing Model in 2017 and the Enhanced Hull-White Trinomial Model in 2016 and 2015, and the related assumptions follow:


		For the Year Ended December 31,
		2017			2016			2015
		Grants			Grants			Grants
Weighted average fair value	$	12.97		$	9.32		$	9.18
Risk-free discount rate		1.67%- 1.85%			1.70%- 2.02%			2.29	%
Expected life		3.6 - 4.2 years			8.20 years			8.20 years
Dividend yield		—			—			—
Volatility		47	%		47	%		47	%
Expected turn-over rate		N/A			2	%		2	%
Expected exercise multiple		N/A			2.2			2.2

Stock option compensation expense totaled $1.1 million, $0.6 million and $0.6 million for the years ended December 31, 2017, 2016 and 2015, respectively. As of December 31, 2017, there was $2.9 million of total unrecognized compensation cost that is expected to be recognized over a weighted average period of 2.4 years.

The intrinsic value of vested and outstanding stock options was $2.0 million and $3.2 million as of December 31, 2017.

As of December 31, 2017, there were 113,044 and 365,526 shares of stock options vested and unvested respectively.

The intrinsic value of stock options exercised during the year ended December 31, 2017, 2016 and 2015 was $0.5 million, $3.9 million and $0.9 million, respectively.

Restricted Stock Awards

The following table summarizes the status of unvested restricted stock awards outstanding at December 31, 2017:


	For The Year Ended December 31,
	2017
	Restricted			Weighted
	Stock			Average
	Awards			Grant
	(Amounts in			Date Fair
	Thousands)			Value
Unvested restricted stock awards, beginning of period	103		$	20.84
Awarded	90			34.60
Vested	(35	)		21.07
Forfeited	(15	)		22.79
Unvested restricted stock awards, end of period	143		$	29.30

The fair market value of restricted stock awards that vested during the year ended December 31, 2017 was $1.0 million.

Restricted stock award compensation expense totaled $1.4 million, $0.5 million and $0.9 million for the years ended December 31, 2017, 2016 and 2015, respectively. As of December 31, 2017, there was $3.0 million of total unrecognized compensation costs that are expected to be recognized over a weighted average period of 2.1 years.

Operating Leases

12 Months Ended

Dec. 31, 2017

Operating Leases [Abstract]

Operating Leases

12. Operating Leases

The Company leases its branch office space under various operating leases that expire at various dates through 2025. In addition to rent, the Company is typically responsible for taxes, maintenance, insurance and common area costs. A number of the office leases also contain escalation and renewal option clauses. Total rent expense on these office leases was $2.5 million, $2.9 million and $3.0 million for the years ended December 31, 2017, 2016, and 2015, respectively.

The Company entered into a 132 month lease with a third party for approximately 59,000 square feet (unaudited) of office space in Downers Grove, IL for a support center. The Company assumed occupancy in May 2014. Rental expense relating to this lease amounted to $0.8 million, $0.8 million and $0.8 million for the years ended December 31, 2017, 2016 and 2015, respectively. In the second quarter of 2016, the contact center contained within the Downers Grove support center closed. As a result, approximately 21,000 square feet (unaudited) of the office space in Downers Grove is unused by the Company. Effective August 1, 2017, the Company subleased the office space to a third party. Additionally, the Company entered into a 64 month lease with a third party for approximately 27,000 square feet (unaudited) of office space in Frisco, Texas which also serves as an additional support center. The Company assumed occupancy in July 2016. Rental expense relating to this lease amounted to $0.7 million and $0.2 million for the years ended December 31, 2017 and 2016, respectively.

During 2011, the Company entered into a lease for its telecom system under a five year operating lease that expired in June 2016. Total expense on the telecom lease was $0.5 million and $0.6 million for the years ended December 31, 2016 and 2015, respectively. In 2016, the Company decided to retain the leased telecom system by entering into a capital lease agreement for the fair value of the equipment as described in Note 9.

The following is a schedule of the future minimum payments, exclusive of taxes and other operating expenses, required under the Company's operating leases. The payments owed with respect to the approximately 21,000 square feet (unaudited) of subleased space in Downers Grove of $2.0 million have been included in the table below because the Company remains liable for payments in the event that the sublessee does not make the required payment to the landlord.


		Rent
		(Amount in
		Thousands)
2018	$	3,155
2019		2,565
2020		1,948
2021		1,414
2022		981
Thereafter		2,237
Total	$	12,300

Employee Benefit Plans	12 Months Ended
Employee Benefit Plans	Dec. 31, 2017
Employee Benefit Plans [Abstract]
Employee Benefit Plans	13. Employee Benefit Plans The Company's 401(k) Retirement Plan covers all non-union employees. The 401(k) plan is a defined contribution plan that provides for matching contributions by the Company. Matching contributions are discretionary and subject to change by management. Under the provisions of the 401(k) plan, employees can contribute up to the maximum percentage and limits allowable under the Internal Revenue Code of 1986. The Company provided a matching contribution, equal to 6.0% of the employees' contributions, totaling $44.0 thousand, $31.1 thousand and $33.5 thousand for the years ended December 31, 2017, 2016 and 2015, respectively.

Commitments and Contingencies	12 Months Ended
Commitments and Contingencies	Dec. 31, 2017
Commitments and Contingencies [Abstract]
Commitments and Contingencies	14. Commitments and Contingencies *Legal Proceedings* From time to time, the Company is subject to legal and/or administrative proceedings incidental to its business. It is the opinion of management that the outcome of pending legal and/or administrative proceedings will not have a material effect on our Consolidated Balance Sheets and Consolidated Statements of Income. On January 20, 2016, the Company was served with a lawsuit filed in the United States District Court for the Northern District of Illinois against the Company and Cigna Corporation by Stop Illinois Marketing Fraud, LLC, a qui tam relator formed for the purpose of bringing this action. In the action, the plaintiff alleges, inter alia, violations of the federal False Claims Act relating primarily to allegations of violations of the federal Anti-Kickback Statute and allegedly improper referrals of patients from the Company's home care division to the Company's home health business, substantially all of which was sold in 2013. The plaintiff seeks to recover damages, fees and costs under the federal False Claims Act including treble damages, civil penalties and its attorneys' fees. The U.S. government has declined to intervene at this time. Plaintiff amended its complaint on April 4, 2016 to include additional allegations in support of its False Claims Act claims, including alleged violations of the federal Anti-Kickback Statute. The Company and Cigna Corporation filed a motion to dismiss the amended complaint on June 6, 2016. On February 3, 2017, the Court granted Cigna Corporation's motion to dismiss in full, and granted the Company's motion to dismiss in part allowing Plaintiff another chance to amend its complaint. Plaintiff timely filed a second amended complaint on March 10, 2017, withdrawing its conspiracy claim under the Federal False Claims Act and adding an explicit claim under the Illinois False Claims Act for the same underlying kickback allegations. On April 7, 2017, the Company filed a partial motion to dismiss the Second Amended Complaint, which has not yet been ruled on by the court. On May 24, 2017, the State of Illinois filed notice that it was declining to intervene in the plaintiff's claim under the Illinois False Claims Act. The Company intends to defend the litigation vigorously and believes the case will not have a material adverse effect on its business, financial condition or results of operations. *Employment Agreements* The Company has entered into employment agreements with certain members of senior management. The terms of these agreements are up to four years with the potential to auto-renew and include non-compete and nondisclosure provisions, as well as provide for defined severance payments in the event of termination. Approximately 60.4% of the Company's total employees are represented by labor unions. A substantial percentage of the Company's workforce is represented by the Service Employees International Union ("SEIU"). The Company has a national agreement with the SEIU. Wages and benefits are negotiated at the local level at various times throughout the year. These negotiations are often initiated when the Company receives increases in hourly rates from various state agencies. Upon expiration of these collective bargaining agreements, the Company may not be able to negotiate labor agreements on satisfactory terms with these labor unions.

Severance and Restructuring

12 Months Ended

Dec. 31, 2017

Severance and Restructuring [Abstract]

Severance and Restructuring

15. Severance and Restructuring

In 2016, the Company initiated steps to streamline its operations. The Company incurred total expenses related to these initiatives of approximately $1.7 million and $8.0 million for the years ended December 31, 2017 and 2016, respectively. These costs are included in general and administrative expenses on the Consolidated Statements of Income. The expenses recorded for the year ended December 31, 2017 primarily includes costs related to terminated employees, fees related to the termination of professional services relationships, other contract termination costs and asset write-offs. The expenses recorded for the year ended December 31, 2016 included costs related to terminated employees and other direct costs associated with implementing these initiatives including contract termination costs, accelerated depreciation and asset write-offs. The Company expects some additional restructuring and other costs to occur, however, the amount and timing cannot be determined at this time.

The following provides the components of and changes in our severance and restructuring accruals:


		Employee
		Termination			Restructuring
		Costs			and Other
	(Amounts in Thousands)
Balance at December 31, 2015	$	—		$	—
Provision		3,230			4,786
Utilization		(1,904	)		(3,000	)
Balance at December 31, 2016		1,326			1,786
Provision		1,038			627
Utilization		(1,802	)		(1,336	)
Balance at December 31, 2017	$	562		$	1,077

Employee termination costs represent accrued severance payable to terminated employees with employment and/or separation agreements with the Company. For the year ended December 31, 2017, employee termination costs resulted mainly from changes made to the management team made during the year. For the year ended December 31, 2016, employee termination costs resulted mainly from the closure of the contact center and other changes made to the executive leadership team made during the year. The remaining accruals as of December 31, 2017 are expected to be paid through January 2019.

Restructuring and other costs for the year ended December 31, 2017 primarily consisted of fees for the termination of professional services relationships, other contract termination costs and asset write-offs. For the year ended December 31, 2016, restructuring and other costs consisted of costs related to lease commitments and write-offs of leasehold improvements and property and equipment resulting from the closure of three adult day services centers in Illinois and for unused contact center office space, costs related to a discontinued internally developed software product and fees for the termination of various contracts with outside vendors.

The aforementioned accruals are included in accrued expenses on the Consolidated Balance Sheets and the aforementioned expenses are included in general and administrative expenses on the Consolidated Statements of Income.

Significant Payors

12 Months Ended

Dec. 31, 2017

Significant Payors [Abstract]

Significant Payors

16. Significant Payors

For 2017, 2016 and 2015, our revenue mix by payor type was as follows:


	Year Ended December 31,
	2017		2016		2015
State, local and other governmental programs	64.2	%	70.4	%	77.7	%
Managed care organizations	33.1		26.1		18.3
Private pay	2.1		2.4		3.0
Commercial insurance	0.6		1.1		1.0
	100.0	%	100.0	%	100.0	%

The Company derives a significant amount of its net service revenues from its operations in Illinois, New York and New Mexico. The percentages of total revenue for each of these significant states for 2017, 2016 and 2015 were as follows:


	% of Total Revenue for the
	Years Ended December, 31
State	2017		2016		2015
Illinois	52.6	%	53.6	%	59.5	%
New York	13.7		12.9		—
New Mexico	8.8		7.5		8.5

A substantial portion of the Company's net service revenues and accounts receivables are derived from services performed for federal, state and local governmental agencies. The Illinois Department on Aging accounted for 36.6%, 42.1% and 48.8% of the Company's net service revenues for 2017, 2016, and 2015, respectively.

The related receivables due from the Illinois Department on Aging represented 37.5% and 55.4% of the Company's net accounts receivable at December 31, 2017 and 2016, respectively.

Concentration of Cash	12 Months Ended
Concentration of Cash	Dec. 31, 2017
Concentration of Cash [Abstract]
Concentration of Cash	17. Concentration of Cash Financial instruments that potentially subject the Company to significant concentrations of credit risk include cash. The Company maintains cash with financial institutions which, at times, may exceed federally insured limits. The Company believes it is not exposed to any significant credit risk on cash.

Unaudited Summarized Quarterly Financial Information

12 Months Ended

Dec. 31, 2017

Unaudited Summarized Quarterly Financial Information [Abstract]

Unaudited Summarized Quarterly Financial Information

18. Unaudited Summarized Quarterly Financial Information

The following is a summary of the Company's unaudited quarterly results of operations:


		Year Ended December 31, 2017							Year Ended December 31, 2016
		Dec. 31		Sept. 30		Jun. 30	Mar. 31		Dec. 31			Sept. 30	Jun. 30			Mar. 31
					(Amounts and Shares in Thousands, Except Per Share Data)
Net service revenues	$	111,958	$	108,592	$	103,559	$	101,606	$	103,657	$	103,502	$	100,927	$	92,602
Gross profit		30,715		29,053		28,511		27,317		28,658		27,423		25,695		24,319
Operating income from
continuing operations		7,550		5,807		5,921		6,961		7,693		2,495		4,394		653
Net income from continuing
operations		3,094		3,408		2,700		4,259		7,471		1,699		2,600		157
Earnings from
discontinued operations		147		—		—		—		97		—		—		—
Net income	$	3,241	$	3,408	$	2,700	$	4,259	$	7,568	$	1,699	$	2,600	$	157
Average shares outstanding:
Basic		11,488		11,486		11,470		11,434		11,383		11,367	11,361			11,022
Diluted		11,638		11,631		11,622		11,581		11,494		11,417	11,385			11,178
Income per common
share:
Basic
Continuing
operations	$	0.27	$	0.30	$	0.24	$	0.37	$	0.66	$	0.15	$	0.23	$	0.01
Discontinued
operations		0.01		—		—		—		0.01		—		—		—
Basic net income per share	$	0.28	$	0.30	$	0.24	$	0.37	$	0.67	$	0.15	$	0.23	$	0.01
Diluted net income per share
Continuing
operations	$	0.27	$	0.29	$	0.23	$	0.37	$	0.65	$	0.15	$	0.23	$	0.01
Discontinued
operations		0.01		—		—		—		0.01		—		—		—
Diluted net income per share	$	0.28	$	0.29	$	0.23	$	0.37	$	0.66	$	0.15	$	0.23	$	0.01

Subsequent Events	12 Months Ended
Subsequent Events	Dec. 31, 2017
Subsequent Events [Abstract]
Subsequent Events	19. Subsequent Events On January 1, 2018, the Company entered into an Asset Purchase Agreement with LifeStyle Options, Inc. ("LifeStyle") pursuant to which the Company acquired substantially all of the assets of LifeStyle for approximately $3.4 million in order to expand private pay services in Illinois. On February 27, 2018, the Company entered into a purchase agreement to acquire Ambercare Corporation, Inc. (Ambercare) for approximately $40.0 million to expand in the State of New Mexico. Addus expects to complete the transaction in the second quarter of 2018, subject to the usual closing conditions, with funding through the delayed draw term loan portion of its credit facility.

Valuation And Qualifying Accounts

12 Months Ended

Dec. 31, 2017

Valuation and Qualifying Accounts [Abstract]

Valuation And Qualifying Accounts

VALUATION AND QUALIFYING ACCOUNTS SCHEDULE II

(Amounts In Thousands)


		Balance at				Balance at
		beginning	Additions/			end of
Allowance for doubtful accounts		of period	charges	Deductions*		period
Year ended December 31, 2017
Allowance for doubtful accounts	$	7,363	8,259	5,085	$	10,537
Year ended December 31, 2016
Allowance for doubtful accounts	$	4,850	7,373	4,860	$	7,363
Year ended December 31, 2015
Allowance for doubtful accounts	$	3,881	4,309	3,340	$	4,850

_____________
* Write-offs, net of recoveries

Significant Accounting Policies (Policy)

12 Months Ended

Dec. 31, 2017

Significant Accounting Policies [Abstract]

Basis of Presentation and Description of Business

Basis of Presentation and Description of Business

Principles of Consolidation

Principles of Consolidation

All intercompany balances and transactions have been eliminated in consolidation.

The Company used the cost method to account for its investments in joint ventures in which it owned 10% equity interests. The Company sold such investments on October 1, 2017 (see Note 3).

Revenue Recognition

Revenue Recognition

Allowance for Doubtful Accounts

Allowance for Doubtful Accounts

Property and Equipment

Property and Equipment


Computer equipment	3—5 years
Furniture and equipment	5—7 years
Transportation equipment	5 years
Computer software	5—10 years
Leasehold improvements	Lesser of useful life or lease term, unless
	probability of lease renewal is likely

Goodwill

Goodwill

Intangible Assets

Intangible Assets

Debt Issuance Costs

Debt Issuance Costs

Workers' Compensation Program

Workers' Compensation Program

Interest Income

Interest Income

Interest Expense

Interest Expense

Other Income

Other Income

Income Tax Expenses

Income Tax Expenses

The Company recognizes interest and penalties accrued related to uncertain tax positions in interest expense and penalties within operating expenses on the Consolidated Statements of Income.

Stock-Based Compensation

Stock-based Compensation

Diluted Net Income Per Common Share

Diluted Net Income Per Common Share

Estimates

Estimates

Fair Value Measurements

Fair Value Measurements

The Company utilizes the income approach to estimate the fair value of its intangible assets derived from acquisitions.

Going Concern

Going Concern

New Accounting Pronouncements

New Accounting Pronouncements

Reclassification of Prior Period Balances

Reclassification of Prior Period Balances

Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2017

Significant Accounting Policies [Abstract]

Estimated Useful Lives of Property and Equipment


Computer equipment	3—5 years
Furniture and equipment	5—7 years
Transportation equipment	5 years
Computer software	5—10 years
Leasehold improvements	Lesser of useful life or lease term, unless
	probability of lease renewal is likely

Correction to Prior Period Financial Statements (Tables)

12 Months Ended

Dec. 31, 2017

Correction to Prior Period Financial Statements [Abstract]

Consolidated Balance Sheet as of December 31, 2016


		As
		Previously					As
		Reported		Corrections			Revised
Deferred tax asset, net	$	3,153	$	202		$	3,355
Goodwill		73,906		(1,218	)		72,688
Intangible assets, net of accumulated amortization		15,413		(150	)		15,263
Total assets	$	231,030	$	(1,166	)	$	229,864
Total liabilities		72,102		—			72,102
Total stockholders' equity		158,928		(1,166	)		157,762
Total liabilities and stockholders' equity	$	231,030	$	(1,166	)	$	229,864

Discontinued Operations (Tables)

12 Months Ended

Dec. 31, 2017

Discontinued Operations [Abstract]

Schedule of Net Service Revenues and Earnings Attributable to Discontinued Operations


		2017		2016		2015
		(Amounts in Thousands)
Net service revenues	$	—	$	—	$	—
Income before income taxes		245		163		448
Income tax expense		98		66		178
Net income from discontinued operations	$	147	$	97	$	270

Acquisitions (Tables)

12 Months Ended

Dec. 31, 2017

Sun Cities Homecare [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	1,103
Identifiable intangible assets		682
Accounts receivable		240
Cash		321
Other assets		10
Accrued liabilities		(86	)
Accounts payable		(14	)
Total purchase price allocation	$	2,256

Options Home Care [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	16,754
Identifiable intangible assets		5,324
Accounts receivable		995
Cash		205
Other assets		41
Accrued liabilities		(695	)
Total purchase price allocation	$	22,624

South Shore Home Health Service, Inc and Acaring Home Care, LLC [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	5,265
Identifiable intangible assets		9,957
Accounts receivable		6,807
Other current assets		858
Accrued liabilities		(1,593	)
Accounts payable		(1,268	)
Total purchase price allocation	$	20,026

Five Points Healthcare of Virginia, LLC ("Five Points") [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	2,885
Identifiable intangible assets		920
Accounts receivable		472
Accrued liabilities		(155	)
Accounts payable		(7	)
Total purchase price allocation	$	4,115

Priority Home Health Care, Inc [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	1,862
Identifiable intangible assets		1,930
Accounts receivable		951
Furniture, fixtures and equipment		58
Other current assets		8
Accrued liabilities		(339	)
Accounts payable		(220	)
Total purchase price allocation	$	4,250

Sun Cities And Option Home Care [Member]

Business Acquisition [Line Items]

Unaudited Pro Forma Condensed Consolidated Income Statement Information


		For the Years Ended
		December 31,
		(Amounts in Thousands)
		2017		2016
Net service revenues	$	441,858	$	425,704
Operating income from continuing operations		28,103		15,575
Net income from continuing operations		15,010		12,196
Earnings from discontinued operations, net of tax		147		97
Net income	$	15,157	$	12,293
Net income per common share
Basic income per share
Continuing operations	$	1.31	$	1.08
Discontinued operations		0.01		0.01
Basic income per share	$	1.32	$	1.09
Diluted income per share
Continuing operations	$	1.29	$	1.07
Discontinued operations		0.01		0.01
Diluted income per share	$	1.30	$	1.08

Property And Equipment (Tables)

12 Months Ended

Dec. 31, 2017

Property And Equipment [Abstract]

Schedule of Property and Equipment


	December 31,
		2017			2016
	(Amounts in Thousands)
Computer equipment	$	2,770		$	3,807
Furniture and equipment		3,392			3,146
Transportation equipment		152			898
Leasehold improvements		2,749			3,551
Computer software		3,269			5,419
		12,332			16,821
Less: accumulated depreciation and amortization		(4,843	)		(10,173	)
	$	7,489		$	6,648

Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2017

Goodwill and Intangible Assets [Abstract]

Summary of Goodwill and Related Adjustments


		Goodwill
		(Amounts in
		Thousands)
Goodwill, at December 31, 2015	$	67,626
Additions for acquisitions		5,265
Adjustments to previously recorded goodwill		(203	)
Goodwill, at December 31, 2016		72,688
Additions for acquisitions		17,857
Adjustments to previously recorded goodwill		(206	)
Goodwill, at December 31, 2017	$	90,339

Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset


		Customer			Trade
		and referral			names and			Non-competition
		relationships			trademarks			agreements			Total
					(Amounts in Thousands)
Gross balance at January 1, 2016	$	29,872		$	8,161		$	2,098		$	40,131
Additions for acquisitions		4,800			5,100			57			9,957
Accumulated amortization		(26,766	)		(6,296	)		(1,763	)		(34,825	)
Net Balance at December 31, 2016		7,906			6,965			392			15,263
Gross balance at January 1, 2017		34,672			13,261			2,155			50,088
Other		(281	)		—			—			(281	)
Additions for acquisitions		4,626			1,380			—			6,006
Accumulated amortization		(29,147	)		(8,198	)		(1,872	)		(39,217	)
Net Balance at December 31, 2017	$	9,870		$	6,443		$	283		$	16,596

Schedule of Future Amortization of Intangible Assets


		Total
		(Amount in
For the year ended December 31,		Thousands)
2018	$	4,919
2019		3,662
2020		2,345
2021		1,925
2022		965
Thereafter		2,780
Total	$	16,596

Details of Certain Balance Sheet Accounts (Tables)

12 Months Ended

Dec. 31, 2017

Details of Certain Balance Sheet Accounts [Abstract]

Schedule of Prepaid Expenses and Other Current Assets


		December 31,
		2017		2016
		(Amounts in Thousands)
Prepaid health insurance	$	2,901	$	2,238
Prepaid workers' compensation and liability insurance		1,332		1,190
Prepaid rent		555		568
Workers' compensation insurance receivable		543		747
Other		3,048		1,255
	$	8,379	$	5,998

Schedule of Accrued Expenses


	December 31,
		2017		2016
	(Amounts in Thousands)
Accrued payroll	$	19,783	$	17,509
Accrued workers' compensation insurance		12,574		12,823
Accrued health insurance (1)		6,471		4,092
Indemnification reserve (2)		174		419
Accrued payroll taxes		1,065		1,747
Accrued professional fees		1,312		1,485
Accrued severance		562		1,326
Accrued restructuring (3)		1,077		1,786
Other		1,782		1,416
	$	44,800	$	42,603

(1) The Company provides health insurance coverage to qualified union employees providing personal care services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company's insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five business days from the date the funds are received from the State. Amounts due of $2.3 million and $2.2 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance at December 31, 2017 and 2016, respectively.

(2) As a condition of the sale of the Home Health Business to subsidiaries of LHCG the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing of the sale. The Company has estimated a total of $0.2 million for billing adjustments for 2013 and 2012 services which may be subject to Medicare audits. For the years ended December 31, 2017 and 2016, the Company reduced the indemnification reserve accrual by the amounts accrued for periods no longer subject to Medicare audits of $0.2 million and $0.2 million, respectively. This amount is reflected as a reduction in general and administrative expense of discontinued operations.

(3) Accrued restructuring includes reserves for lease commitments related to the closure of three adult day services centers in Illinois during the third quarter of 2016 and unused contact center office space.

Long-Term Debt (Tables)

12 Months Ended

Dec. 31, 2017

Long-Term Debt [Abstract]

Schedule of Long-Term Debt


		December 31,			December 31,
		2017			2016
	(Amounts in Thousands)
Term loan under the new credit facility	$	44,438		$	—
Term loan under the terminated credit facility		—			24,063
Capital leases		1,002			2,433
Less unamortized issuance costs		(2,481	)		(1,483	)
Total	$	42,959		$	25,013
Less current maturities		(3,099	)		(2,531	)
Long-term debt	$	39,860		$	22,482

Schedule of Leased Property Under Capital Leases


		Asset Balances at
		December 31, 2017
Classes of Property		(Amounts in Thousands)
Leasehold improvements	$	1,485
Furniture and equipment		868
Computer equipment		635
Computer software		303
Total		3,291
Less: accumulated depreciation		(1,333	)
	$	1,958

Schedule of Future Minimum Payments for Capital Leases


		Capital Lease
		(Amounts In Thousands)
2018	$	1,026
2019		30
Total minimum lease payments		1,056
Less: amount representing estimated executory costs (such as taxes,
maintenance and insurance), including profit thereon, included in total
minimum lease payments		(30	)
Net minimum lease payments		1,026
Less: amount representing interest (1)		(24	)
Present value of net minimum lease payments (2)	$	1,002

_________________

(1)	Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception.
(2)	Included in the balance sheet as $974.4 thousand of the current portion of long-term debt and $27.8 thousand of the long-term debt, less current portion.

- Definition

Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02.22)
-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=84159872&loc=d3e21475-112644

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 942
-SubTopic 470
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=75038535&loc=d3e64711-112823

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08.(e),(f))
-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 55
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=64930739&loc=d3e28878-108400

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=84159872&loc=d3e21538-112644

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=84159872&loc=d3e21506-112644

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 1A
-URI http://asc.fasb.org/extlink&oid=64930785&loc=d3e28541-108399

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=64930785&loc=d3e28551-108399

Reference 10: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=84159872&loc=d3e21521-112644

+ Details

Income Taxes (Tables)

12 Months Ended

Dec. 31, 2017

Income Taxes [Abstract]

Current and Deferred fFderal and State Income Tax Provision from Continuing Operations


				December 31,
		2017		2016			2015
				(Amounts in Thousands)
Current
Federal	$	5,782	$	4,400		$	2,743
State		1,069		908			528
Deferred
Federal		1,672		(1,147	)		546
State		66		(167	)		115
Provision for income taxes	$	8,589	$	3,994		$	3,932

Deferred Tax Assets And Liabilities


		December 31,
		2017			2016
		(Amounts in
		Thousands)
Deferred tax assets
Long-term
Accounts receivable allowances	$	2,917		$	2,960
Accrued compensation		1,919			2,733
Accrued workers' compensation		3,274			4,854
Transaction costs		898			1,137
Reserves		47			169
Restructuring costs		293			718
Stock-based compensation		811			799
Other		138			524
Total long-term deferred tax assets		10,297			13,894
Deferred tax liabilities
Long-term
Goodwill and intangible assets		(7,301	)		(9,506	)
Property and equipment		(749	)		(552	)
Prepaid insurance		(359	)		(478	)
Other		(1	)		(3	)
Total long-term deferred tax liabilities		(8,410	)		(10,539	)
Valuation allowance		(286	)		—
Total net deferred tax assets	$	1,601		$	3,355

Reconciliation of Statutory Federal Tax Rate


	December 31,
	2017		2016		2015
Federal income tax at statutory rate	35.0	%	35.0	%	34.5	%
State and local taxes, net of federal benefit	5.1		5.2		5.2
Jobs tax credits, net	(6.1	)	(15.8	)	(11.1	)
Nondeductible permanent items	0.4		0.9		0.5
2017 Tax Reform Act, deferred tax assets rate changes	5.3		—		—
Other	(0.7	)	(0.2	)	(3.4	)
Effective income tax rate	39.0	%	25.1	%	25.7	%

Stock Options And Restricted Stock Awards (Tables)

12 Months Ended

Dec. 31, 2017

Stock Options And Restricted Stock Awards [Abstract]

Summary of Stock Option Activity and Weighted Average Exercise Price


	For The Year Ended December 31,
	2017
	Options			Weighted
	(Amounts in			Average
	Thousands)			Exercise Price
Outstanding, beginning of period	405		$	19.71
Granted	154			34.32
Exercised	(51	)		22.60
Forfeited/Cancelled	(29	)		23.61
Outstanding, end of period	479		$	23.91

Weighted-Average Estimated Fair Value of Employee Stock Options Granted


		For the Year Ended December 31,
		2017			2016			2015
		Grants			Grants			Grants
Weighted average fair value	$	12.97		$	9.32		$	9.18
Risk-free discount rate		1.67%- 1.85%			1.70%- 2.02%			2.29	%
Expected life		3.6 - 4.2 years			8.20 years			8.20 years
Dividend yield		—			—			—
Volatility		47	%		47	%		47	%
Expected turn-over rate		N/A			2	%		2	%
Expected exercise multiple		N/A			2.2			2.2

Summary of Status of Unvested Restricted Stock Awards Outstanding


	For The Year Ended December 31,
	2017
	Restricted			Weighted
	Stock			Average
	Awards			Grant
	(Amounts in			Date Fair
	Thousands)			Value
Unvested restricted stock awards, beginning of period	103		$	20.84
Awarded	90			34.60
Vested	(35	)		21.07
Forfeited	(15	)		22.79
Unvested restricted stock awards, end of period	143		$	29.30

Operating Leases (Tables)

12 Months Ended

Dec. 31, 2017

Operating Leases [Abstract]

Schedule of Future Minimum Payments Exclusive of Taxes and Other Operating Expenses


		Rent
		(Amount in
		Thousands)
2018	$	3,155
2019		2,565
2020		1,948
2021		1,414
2022		981
Thereafter		2,237
Total	$	12,300

Severance and Restructuring (Tables)

12 Months Ended

Dec. 31, 2017

Severance and Restructuring [Abstract]

Components of and Changes in Severance and Restructuring Accruals


		Employee
		Termination			Restructuring
		Costs			and Other
	(Amounts in Thousands)
Balance at December 31, 2015	$	—		$	—
Provision		3,230			4,786
Utilization		(1,904	)		(3,000	)
Balance at December 31, 2016		1,326			1,786
Provision		1,038			627
Utilization		(1,802	)		(1,336	)
Balance at December 31, 2017	$	562		$	1,077

Significant Payors (Tables)

12 Months Ended

Dec. 31, 2017

Significant Payors [Abstract]

Revenue Mix by Payor Type


	Year Ended December 31,
	2017		2016		2015
State, local and other governmental programs	64.2	%	70.4	%	77.7	%
Managed care organizations	33.1		26.1		18.3
Private pay	2.1		2.4		3.0
Commercial insurance	0.6		1.1		1.0
	100.0	%	100.0	%	100.0	%

Percentage of Total Revenue by Geographic Location


	% of Total Revenue for the
	Years Ended December, 31
State	2017		2016		2015
Illinois	52.6	%	53.6	%	59.5	%
New York	13.7		12.9		—
New Mexico	8.8		7.5		8.5

Unaudited Summarized Quarterly Financial Information (Tables)

12 Months Ended

Dec. 31, 2017

Unaudited Summarized Quarterly Financial Information [Abstract]

Schedule of Quarterly Results of Operations



			Year Ended December 31, 2017									Year Ended December 31, 2016
	Dec. 31			Sept. 30		Jun. 30			Mar. 31		Dec. 31		Sept. 30		Jun. 30		Mar. 31
						(Amounts and Shares in Thousands, Except Per Share Data)
Net service revenues	$	111,958	$	108,592	$	103,559		$	101,606	$	103,657	$	103,502	$	100,927	$	92,602
Gross profit		30,715		29,053		28,511			27,317		28,658		27,423		25,695		24,319
Operating income from
continuing
operations		7,550		5,807			5,921		6,961		7,693		2,495		4,394		653
Net income from
continuing
operations		3,094		3,408			2,700		4,259		7,471		1,699		2,600		157
Earnings from
discontinued
operations		147		—			—		—		97		—		—		—
Net income	$	3,241	$	3,408		$	2,700	$	4,259	$	7,568	$	1,699	$	2,600	$	157
Average shares
outstanding:
Basic		11,488		11,486		11,470			11,434		11,383		11,367		11,361		11,022
Diluted		11,638		11,631		11,622			11,581		11,494		11,417		11,385		11,178
Income per common
share:
Basic
Continuing
operations	$	0.27	$	0.30		$	0.24	$	0.37	$	0.66	$	0.15	$	0.23	$	0.01
Discontinued
operations		0.01		—			—		—		0.01		—		—		—
Basic net income per
share	$	0.28	$	0.30		$	0.24	$	0.37	$	0.67	$	0.15	$	0.23	$	0.01
Diluted net income per
share
Continuing
operations	$	0.27	$	0.29		$	0.23	$	0.37	$	0.65	$	0.15	$	0.23	$	0.01
Discontinued
operations		0.01		—			—		—		0.01		—		—		—
Diluted net income per
share	$	0.28	$	0.29		$	0.23	$	0.37	$	0.66	$	0.15	$	0.23	$	0.01

Significant Accounting Policies (Narrative) (Details) shares in Thousands, $ in Thousands			12 Months Ended
	Oct. 01, 2017	Mar. 01, 2013	Dec. 31, 2018	Dec. 31, 2017 USD ($) segment state item shares	Dec. 31, 2016 USD ($) shares	Dec. 31, 2015 USD ($) item shares
Summary Of Significant Accounting Policies [Line Items]
Number of reportable business segments \| segment				1
Number of consumers \| item				34,000
Number of offices \| item				116
Number of states in which the company operates \| state				24
Impairment of finite-lived intangible assets				$ 0	$ 0	$ 0
Deductible component of workers' compensation				400
Workers' compensation liability				12,600	12,800
Increase in workers' compensation liabilities				$ 500	700
Interest income received					$ 2,800
Statutory federal tax rate				35.00%	35.00%	34.50%
Deferred tax asset provisional income tax expense as a result of Tax Reform Act				$ 900
Income tax expense (benefit)				8,589	$ 3,994	$ 3,932
Number of stock incentive plans \| item						1
Accounting Standards Update 2016-09 [Member]
Summary Of Significant Accounting Policies [Line Items]
Income tax expense (benefit)				100
Scenario, Plan [Member]
Summary Of Significant Accounting Policies [Line Items]
Statutory federal tax rate			21.00%
Tax Reform Act [Member]
Summary Of Significant Accounting Policies [Line Items]
Provisional valuation allowance amount as a result of Tax Reform Act				$ 300
Stock Options [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of stock options included in calculation \| shares				479	405	650
Number of dilutive shares outstanding \| shares				101	30	40
Restricted Stock [Member]
Summary Of Significant Accounting Policies [Line Items]
Shares of restricted stock awards included in calculation \| shares				143	103	89
Number of dilutive shares outstanding \| shares				52	27	6
Minimum [Member]
Summary Of Significant Accounting Policies [Line Items]
Intangible assets, estimated useful lives				2 years
Maximum [Member]
Summary Of Significant Accounting Policies [Line Items]
Intangible assets, estimated useful lives				25 years
Home Health Business [Member]
Summary Of Significant Accounting Policies [Line Items]
Equity ownership percentage sold in joint venture	10.00%	90.00%

Significant Accounting Policies (Estimated Useful Lives of Property and Equipment) (Details)	12 Months Ended
	Dec. 31, 2017
Transportation Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	5 years
Minimum [Member] \| Computer Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	3 years
Minimum [Member] \| Furniture and Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	5 years
Minimum [Member] \| Computer Software [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	5 years
Maximum [Member] \| Computer Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	5 years
Maximum [Member] \| Furniture and Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	7 years
Maximum [Member] \| Computer Software [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	10 years

Correction to Prior Period Financial Statements (Narrative) (Details) $ in Millions	12 Months Ended
	Dec. 31, 2017 USD ($)
Error Related to Calculation of Tax Benefits Not Applied to Reduce Goodwill [Member]
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Amount of error being corrected	$ 0.6
Error Related to Goodwill Not Reduced for Tax Benefits [Member]
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Amount of error being corrected	0.7
Error Related to Disposal of State License Not Derecognized at Time of Sale [Member]
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Amount of error being corrected	0.2
Error Related to Calculation of Deferred Taxes Associated with Stock-Based Compensation [Member]
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Amount of error being corrected	0.2
Corrections [Member]
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Cumulative reduction in net income resulting from correcting these errors beginning in the year 2006	1.2
Cumulative effect of adjustments required to correct misstatements in financial statements years prior to 2015	$ 1.2

Correction to Prior Period Financial Statements (Consolidated Balance Sheet as of December 31, 2016) (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Deferred tax assets, net	$ 1,601	$ 3,355
Goodwill	90,339	72,688	$ 67,626
Intangible assets, net of accumulated amortization	16,596	15,263
Total assets	267,110	229,864
Total liabilities	92,030	72,102
Total stockholders' equity	175,080	157,762	$ 140,560	$ 126,790
Total liabilities and stockholders' equity	$ 267,110	229,864
As Previously Reported [Member]
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Deferred tax assets, net		3,153
Goodwill		73,906
Intangible assets, net of accumulated amortization		15,413
Total assets		231,030
Total liabilities		72,102
Total stockholders' equity		158,928
Total liabilities and stockholders' equity		231,030
Corrections [Member]
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Deferred tax assets, net		202
Goodwill		(1,218)
Intangible assets, net of accumulated amortization		(150)
Total assets		(1,166)
Total stockholders' equity		(1,166)
Total liabilities and stockholders' equity		$ (1,166)

Gain on Sale of Assets (Details) $ in Thousands			12 Months Ended
Gain on Sale of Assets (Details) $ in Thousands	Oct. 01, 2017 USD ($) entity	Mar. 01, 2017 USD ($) item	Dec. 31, 2017 USD ($)
Gain on sale of adult day services centers			$ 2,467
Illinois [Member]
Number of adult day centers sold \| item		3
Proceeds from sale of adult day service centers		$ 2,400
Gain on sale of adult day services centers		$ 2,100
LHC Group, Inc. [Member]
Equity ownership percentage sold in joint venture with LHCG	10.00%
Number of joint ventures where 10% membership interest is sold \| entity	2
Proceeds from the sale of investments in joint ventures	$ 1,300
Pre-tax gain from sale of the investments in joint ventures	$ 400

Discontinued Operations (Narrative) (Details) $ in Millions				1 Months Ended	12 Months Ended
Discontinued Operations (Narrative) (Details) $ in Millions	Oct. 01, 2017	Dec. 30, 2013 USD ($) item	Mar. 01, 2013 USD ($) state item	Mar. 31, 2014 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)	Dec. 31, 2015 USD ($)
LHC Group, Inc. [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Equity ownership percentage sold in joint venture	10.00%
Estimated billing adjustments for remittance payment					$ 0.2
Reduction of indemnification reserve accrual					0.2	$ 0.2
Home Health Business [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Equity ownership percentage sold in joint venture	10.00%		90.00%
Discontinued operation, cash consideration from sale of assets			$ 20.0
Discontinued operation, percentage of ownership retained			10.00%
Amount voluntarily remitted to government				$ 1.8
Estimated billing adjustments for remittance payment					0.2
Reduction of indemnification reserve accrual					$ 0.2	$ 0.2	$ 0.4
Number of home health agency sold \| item			19
Number of hospice agencies sold \| item			2
Number of states where assets of home health business sold \| state			5
Home Health Business [Member] \| Pennsylvania [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Discontinued operation, cash consideration from sale of assets		$ 0.2
Number of home health agency sold \| item		1

Discontinued Operations (Schedule Of Net Service Revenues And Earnings Attributable To Discontinued Operations) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Discontinued Operations [Abstract]
Net service revenues
Income before income taxes	245	163	448
Income tax expense	98	66	178
Net income from discontinued operations	$ 147	$ 97	$ 270

Acquisitions (Narrative) (Details)									3 Months Ended								12 Months Ended
Acquisitions (Narrative) (Details)	Oct. 01, 2017 USD ($)	Aug. 01, 2017 USD ($) item	Feb. 23, 2016 USD ($)	Feb. 05, 2016 USD ($)	Nov. 09, 2015 USD ($)	Jan. 01, 2015 USD ($)	Jun. 01, 2014 USD ($)	Dec. 01, 2013 USD ($)	Dec. 31, 2017 USD ($)	Sep. 30, 2017 USD ($)	Jun. 30, 2017 USD ($)	Mar. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)	Sep. 30, 2016 USD ($)	Jun. 30, 2016 USD ($)	Mar. 31, 2016 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)	Dec. 31, 2015 USD ($)	Dec. 31, 2014 USD ($)
Business Acquisition [Line Items]
Net service revenues									$ 111,958,000	$ 108,592,000	$ 103,559,000	$ 101,606,000	$ 103,657,000	$ 103,502,000	$ 100,927,000	$ 92,602,000	$ 425,715,000	$ 400,688,000	$ 336,815,000
Sun Cities Homecare [Member] \| New Mexico [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition	$ 2,300,000
Acquisition related costs	$ 100,000
Net service revenues																	700,000
Net income (loss) from continuing operations																	14,800
Options Home Care [Member] \| New Mexico [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition		$ 22,600,000
Acquisition related costs		$ 700,000
Net service revenues																	8,000,000
Net income (loss) from continuing operations																	500,000
Options Home Care [Member] \| Minimum [Member] \| New Mexico [Member]
Business Acquisition [Line Items]
Number of counties under personal care services \| item		20
Lutheran Social Services of Illinois ("LSSI") [Member] \| Illinois [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition			$ 100,000
Net service revenues																	200,000	1,000,000
Net income (loss) from continuing operations																	49,300	100,000
South Shore Home Health Service, Inc and Acaring Home Care, LLC [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition				$ 20,000,000
Acquisition related costs				$ 1,300,000
Net service revenues																	58,400,000	51,700,000
Net income (loss) from continuing operations																	200,000	800,000
Five Points Healthcare of Virginia, LLC ("Five Points") [Member] \| Virginia [Member]
Business Acquisition [Line Items]
Acquisitions of business cash consideration					$ 4,100,000
Acquisition related costs					$ 400,000
Net service revenues																	2,900,000	4,100,000	700,000
Net income (loss) from continuing operations																	300,000	30,600	18,100
Priority Home Health Care, Inc [Member] \| Ohio [Member]
Business Acquisition [Line Items]
Acquisitions of business cash consideration						$ 4,300,000
Acquisition related costs						$ 500,000
Net service revenues																	6,400,000	7,500,000	9,000,000
Net income (loss) from continuing operations																	$ 100,000	$ 300,000	100,000
Cura Partners, LLC [Member]
Business Acquisition [Line Items]
Business acquisition, contingent earn-out obligation							$ 1,000,000													$ 200,000
Business acquisition, contingent earn-out obligation, present value							$ 1,200,000
Coordinated Home Health Care, LLC [Member]
Business Acquisition [Line Items]
Business acquisition, contingent earn-out obligation								$ 1,100,000											$ 1,300,000	1,900,000
Business acquisition, contingent earn-out obligation, present value								$ 2,300,000
Coordinated Home Health Care, LLC [Member] \| New Mexico [Member]
Business Acquisition [Line Items]
Current portion of contingent earn-out obligation																				$ 1,000,000

Acquisitions (Schedule of Purchase Price Allocation) (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Oct. 01, 2017	Aug. 01, 2017	Dec. 31, 2016	Feb. 05, 2016	Dec. 31, 2015	Nov. 09, 2015	Jan. 01, 2015
Business Acquisition [Line Items]
Goodwill	$ 90,339			$ 72,688		$ 67,626
Sun Cities Homecare [Member]
Business Acquisition [Line Items]
Goodwill		$ 1,103
Identifiable intangible assets		682
Accounts receivable		240
Cash		321
Other assets		10
Accrued liabilities		(86)
Accounts payable		(14)
Total purchase price allocation		$ 2,256
Options Home Care [Member]
Business Acquisition [Line Items]
Goodwill			$ 16,754
Identifiable intangible assets			5,324
Accounts receivable			995
Cash			205
Other assets			41
Accrued liabilities			(695)
Total purchase price allocation			$ 22,624
South Shore Home Health Service, Inc and Acaring Home Care, LLC [Member]
Business Acquisition [Line Items]
Goodwill					$ 5,265
Identifiable intangible assets					9,957
Accounts receivable					6,807
Other assets					858
Accrued liabilities					(1,593)
Accounts payable					(1,268)
Total purchase price allocation					$ 20,026
Five Points Healthcare of Virginia, LLC ("Five Points") [Member]
Business Acquisition [Line Items]
Goodwill							$ 2,885
Identifiable intangible assets							920
Accounts receivable							472
Accrued liabilities							(155)
Accounts payable							(7)
Total purchase price allocation							$ 4,115
Priority Home Health Care, Inc [Member]
Business Acquisition [Line Items]
Goodwill								$ 1,862
Identifiable intangible assets								1,930
Accounts receivable								951
Other assets								8
Furniture, fixtures and equipment								58
Accrued liabilities								(339)
Accounts payable								(220)
Total purchase price allocation								$ 4,250

Acquisitions (Unaudited Pro Forma Condensed Consolidated Income Statement Information) (Details) - Sun Cities And Option Home Care [Member] - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016
Business Acquisition [Line Items]
Net service revenues	$ 441,858	$ 425,704
Operating income from continuing operations	28,103	15,575
Net income from continuing operations	15,010	12,196
Earnings from discontinued operations, net of tax	147	97
Net income	$ 15,157	$ 12,293
Basic income per share, Continuing operations	$ 1.31	$ 1.08
Basic income per share, Discontinued operations	0.01	0.01
Basic income per share	1.32	1.09
Diluted income per share, Continuing operations	1.29	1.07
Diluted income per share, Discontinued operations	0.01	0.01
Diluted income per share	$ 1.30	$ 1.08

Property and Equipment (Narrative) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Property, Plant and Equipment [Line Items]
Property and equipment	$ 12,332	$ 16,821
Depreciation and amortization	6,663	6,647	$ 4,717
Internally Developed Software [Member]
Property, Plant and Equipment [Line Items]
Property and equipment	1,000
Computer Equipment and Software and Leasehold Improvements [Member]
Property, Plant and Equipment [Line Items]
Depreciation and amortization	$ 2,000	$ 1,700	$ 1,700

Property and Equipment (Schedule of Property and Equipment) (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 12,332	$ 16,821
Less: accumulated depreciation and amortization	(4,843)	(10,173)
Property and equipment	7,489	6,648
Computer Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	2,770	3,807
Furniture and Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	3,392	3,146
Transportation Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	152	898
Leasehold Improvements [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	2,749	3,551
Computer Software [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 3,269	$ 5,419

Goodwill and Intangible Assets (Narrative) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Goodwill [Line Items]
Goodwill	$ 90,339	$ 72,688	$ 67,626
Amortization expense	$ 4,700	$ 4,900	$ 3,000
Weighted average remaining lives of identifiable intangible assets	6 years 6 months
Minimum [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives	2 years
Maximum [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives	25 years

Goodwill and Intangible Assets (Summary of Goodwill and Related Adjustments) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016
Goodwill and Intangible Assets [Abstract]
Goodwill, at Beginning of Period	$ 72,688	$ 67,626
Additions for Acquisitions	17,857	5,265
Adjustments to previously recorded goodwill	(206)	(203)
Goodwill, at End of Period	$ 90,339	$ 72,688

Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Finite-Lived Intangible Assets [Line Items]
Gross balance	$ 50,088	$ 40,131
Other	(281)
Additions for acquisitions	6,006	9,957
Accumulated amortization	(39,217)	(34,825)
Net Balance	16,596	15,263
Customer And Referral Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	34,672	29,872
Other	(281)
Additions for acquisitions	4,626	4,800
Accumulated amortization	(29,147)	(26,766)
Net Balance	9,870	7,906
Trade Names And Trademarks [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	13,261	8,161
Additions for acquisitions	1,380	5,100
Accumulated amortization	(8,198)	(6,296)
Net Balance	6,443	6,965
Non-competition Agreements [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	2,155	2,098
Additions for acquisitions		57
Accumulated amortization	(1,872)	(1,763)
Net Balance	$ 283	$ 392

Goodwill And Intangible Assets (Schedule of Future Amortization of Intangible Assets) (Details) $ in Thousands	Dec. 31, 2017 USD ($)
Impairment of Intangible Assets (Excluding Goodwill) [Abstract]
2018	$ 4,919
2019	3,662
2020	2,345
2021	1,925
2022	965
Thereafter	2,780
Total	$ 16,596

Details Of Certain Balance Sheet Accounts (Narrative) (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016
Details of Certain Balance Sheet Accounts [Abstract]
Deductible component of workers compensation program	$ 0.4
Letters of credit secure compensation program	$ 11.8	$ 16.7

Details of Certain Balance Sheet Accounts (Schedule of Prepaid Expenses and Other Current Assets) (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Details of Certain Balance Sheet Accounts [Abstract]
Prepaid health insurance	$ 2,901	$ 2,238
Prepaid workers' compensation and liability insurance	1,332	1,190
Prepaid rent	555	568
Workers' compensation insurance receivable	543	747
Other	3,048	1,255
Prepaid expenses and other current assets	$ 8,379	$ 5,998

Details of Certain Balance Sheet Accounts (Schedule of Accrued Expenses) (Details)
$ in Thousands

12 Months Ended

Dec. 31, 2017

USD ($)

Dec. 31, 2016

USD ($)

item

Accrued payroll

$ 19,783

$ 17,509

Accrued workers' compensation insurance

12,574

12,823

Accrued health insurance

^[1]

6,471

4,092

Indemnification reserve

^[2]

174

419

Accrued payroll taxes

1,065

1,747

Accrued professional fees

1,312

1,485

Accrued severance

562

1,326

Accrued restructuring

^[3]

1,077

1,786

Other

1,782

1,416

Accrued expenses

$ 44,800

42,603

Contributions due after fund received, period

5 days

Illinois [Member]

Health insurance reimbursement and contribution due

$ 2,300

$ 2,200

Number of adult day centers closed | item

LHC Group, Inc. [Member]

Reduction of indemnification reserve accrual

200

$ 200

Estimated billing adjustments for remittance payment

$ 200

[1]	The Company provides health insurance coverage to qualified union employees providing personal care services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company's insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five business days from the date the funds are received from the State. Amounts due of $2.3 million and $2.2 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance at December 31, 2017 and 2016, respectively.
[2]	As a condition of the sale of the Home Health Business to subsidiaries of LHCG the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing of the sale. The Company has estimated a total of $0.2 million for billing adjustments for 2013 and 2012 services which may be subject to Medicare audits. For the years ended December 31, 2017 and 2016, the Company reduced the indemnification reserve accrual by the amounts accrued for periods no longer subject to Medicare audits of $0.2 million and $0.2 million, respectively. This amount is reflected as a reduction in general and administrative expense of discontinued operations.
[3]	Accrued restructuring includes reserves for lease commitments related to the closure of three adult day services centers in Illinois during the third quarter of 2016 and unused contact center office space.

Long-Term Debt (Narrative) (Details) $ in Thousands					1 Months Ended	4 Months Ended	12 Months Ended
Long-Term Debt (Narrative) (Details) $ in Thousands	May 08, 2017 USD ($)	Oct. 01, 2016 USD ($)	May 24, 2016	May 23, 2016	Jul. 31, 2017 USD ($)	May 07, 2017 USD ($)	Dec. 31, 2017 USD ($) agreement	Dec. 31, 2016 USD ($)	Dec. 31, 2015 USD ($)	Apr. 13, 2015 USD ($)	Sep. 11, 2014 USD ($)	Jul. 12, 2014 USD ($)
Debt Instrument [Line Items]
Proceeds from line of credit							$ 20,000	$ 27,000
Repayment of credit facility							30,000
Repayment of accrued interest							$ 2,261	2,322	$ 786
First American Commercial Bancorp [Member]
Debt Instrument [Line Items]
Number of capital lease agreements \| agreement							3
Capital lease agreements term							48 months
Capital lease agreements amount										$ 400	$ 1,400	$ 2,700
Meridian Leasing Corporation [Member]
Debt Instrument [Line Items]
Capital lease agreements term		25 months
Capital lease agreements amount		$ 600
Debt instrument stated interest rate		11.10%
Minimum [Member] \| First American Commercial Bancorp [Member]
Debt Instrument [Line Items]
Debt instrument stated interest rate							3.00%
Maximum [Member] \| First American Commercial Bancorp [Member]
Debt Instrument [Line Items]
Debt instrument stated interest rate							3.60%
New Credit Facility [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 250,000
Credit facility maturity period							5 years
Debt issuance costs	2,800
New Credit Facility [Member] \| Revolving Credit Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	125,000
Proceeds from line of credit					$ 30,000
Line of credit outstanding amount							$ 105,100
New Credit Facility [Member] \| Term Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument stated interest rate							3.86%
Maximum aggregate loan amount available	45,000
Line of credit outstanding amount							$ 44,400
New Credit Facility [Member] \| Delayed Draw Term Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	80,000
New Credit Facility [Member] \| Uncommitted Incremental Term Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 100,000
New Credit Facility [Member] \| Minimum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility							0.25%
New Credit Facility [Member] \| Maximum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum ratio used to determine availability of additional draws	4.25%
Fee charged on unused portion of revolving credit facility							0.50%
New Credit Facility [Member] \| One Month LIBOR [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							1.00%
New Credit Facility [Member] \| One Month LIBOR [Member] \| Minimum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							0.00%
New Credit Facility [Member] \| Federal Funds Rate [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							0.50%
Terminated Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available						$ 125,000
Repayment of credit facility	$ 23,800
Repayment of accrued interest	100
Write off of unamortized debt issuance cost	$ 1,300
Specified advance multiple used to determine funds availability under credit facility			3.75	3.25
Maximum permitted senior leverage ratio			4.00	3.50
Debt instrument, maturity date							Nov. 10, 2020
Terminated Senior Secured Credit Facility [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available						100,000
Proceeds from line of credit						20,000
Line of credit outstanding amount								24,100
Line of credit facility remaining amount								$ 79,700
Terminated Senior Secured Credit Facility [Member] \| Delayed Draw Term Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available						25,000
Terminated Senior Secured Credit Facility [Member] \| Uncommitted Incremental Term Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available						50,000
Terminated Senior Secured Credit Facility [Member] \| Letters of Credit [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available						$ 35,000
Terminated Senior Secured Credit Facility [Member] \| Minimum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility							0.25%
Terminated Senior Secured Credit Facility [Member] \| Maximum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility							0.50%
Basis for Availability of Funds Debt Covenant One [Member] \| Terminated Senior Secured Credit Facility [Member] \| Minimum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							2.00%
Basis for Availability of Funds Debt Covenant One [Member] \| Terminated Senior Secured Credit Facility [Member] \| Maximum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							2.50%
Basis for Availability of Funds Debt Covenant One [Member] \| Terminated Senior Secured Credit Facility [Member] \| One Month LIBOR [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							3.00%
Basis for Availability of Funds Debt Covenant One [Member] \| Terminated Senior Secured Credit Facility [Member] \| Federal Funds Rate [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							0.50%
Basis for Availability of Funds Debt Covenant Two [Member] \| Terminated Senior Secured Credit Facility [Member] \| Minimum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							3.00%
Basis for Availability of Funds Debt Covenant Two [Member] \| Terminated Senior Secured Credit Facility [Member] \| Maximum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							3.50%
Basis for Availability of Funds Debt Covenant Three [Member] \| Terminated Senior Secured Credit Facility [Member] \| Minimum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							3.00%
Basis for Availability of Funds Debt Covenant Three [Member] \| Terminated Senior Secured Credit Facility [Member] \| Maximum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							3.50%
Restriction on Dividends [Member] \| New Credit Facility [Member] \| Maximum [Member]
Debt Instrument [Line Items]
Aggregate amount of dividends and distributions							$ 5,000
Restriction on Ability to Consummate Acquisitions [Member] \| New Credit Facility [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum single acquisition price							60,000
Maximum total purchase price allowed							$ 80,000
Based On Applicable Senior Leverage Ratio [Member] \| New Credit Facility [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							2.25%
Based On Applicable Senior Leverage Ratio [Member] \| New Credit Facility [Member] \| Minimum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							1.50%
Based On Applicable Senior Leverage Ratio [Member] \| New Credit Facility [Member] \| Maximum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							2.25%
Based On Applicable Leverage Ratio [Member] \| New Credit Facility [Member] \| Minimum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							2.50%
Based On Applicable Leverage Ratio [Member] \| New Credit Facility [Member] \| Maximum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin							3.25%

Long-Term Debt (Schedule of Long-Term Debt) (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Debt Instrument [Line Items]
Less unamortized issuance costs	$ (2,481)	$ (1,483)
Total	42,959	25,013
Less current maturities	(3,099)	(2,531)
Long-term debt	39,860	22,482
Term Loan [Member] \| New Credit Facility [Member]
Debt Instrument [Line Items]
Long-term debt gross	44,438
Term Loan [Member] \| Terminated Credit Facility [Member]
Debt Instrument [Line Items]
Long-term debt gross		24,063
Capital Leases [Member]
Debt Instrument [Line Items]
Long-term debt gross	$ 1,002	$ 2,433

Long-Term Debt (Schedule of Leased Property Under Capital Leases) (Details) $ in Thousands	Dec. 31, 2017 USD ($)
Capital Leased Assets [Line Items]
Leased property under capital leases	$ 3,291
Less: Accumulated Depreciation and Amortization	(1,333)
Net Leased Property Under Capital Leases	1,958
Leasehold Improvements [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	1,485
Furniture and Equipment [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	868
Computer Equipment [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	635
Computer Software [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	$ 303

Long-Term Debt (Schedule of Future Minimum Payments for Capital Leases) (Details)

Dec. 31, 2017

USD ($)

Long-Term Debt [Abstract]

2018

$ 1,026,000

2019

30,000

Total minimum lease payments

1,056,000

Less: amount representing estimated executory costs (such as taxes, maintenance and insurance), including profit thereon, included in total minimum lease payments

(30,000)

Net minimum lease payments

1,026,000

Less: amount representing interest

(24,000)

^[1]

Present value of net minimum lease payments

1,002,000

^[2]

Current obligations under capital leases

974,400

Noncurrent obligations under capital leases

$ 27,800

[1]	Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception.
[2]	Included in the balance sheet as $974.4 thousand of the current portion of long-term debt and $27.8 thousand of the long-term debt, less current portion.

Income Taxes (Narrative) (Details)	12 Months Ended
Income Taxes (Narrative) (Details)	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Statutory federal tax rate	35.00%	35.00%	34.50%
U.S Federal authorities [Member] \| Minimum [Member]
Open tax examination year	2014
U.S Federal authorities [Member] \| Maximum [Member]
Open tax examination year	2017
State authorities [Member] \| Minimum [Member]
Open tax examination year	2013
State authorities [Member] \| Maximum [Member]
Open tax examination year	2017

Income Taxes (Current and Deferred Federal and State Income Tax Provision from Continuing Operations) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Current
Federal	$ 5,782	$ 4,400	$ 2,743
State	1,069	908	528
Deferred
Federal	1,672	(1,147)	546
State	66	(167)	115
Provision for income taxes	$ 8,589	$ 3,994	$ 3,932

Income Taxes (Deferred Tax Assets And Liabilities) (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Income Tax Expense (Benefit), Continuing Operations, Income Tax Reconciliation [Abstract]
Deferred Tax Assets, Accounts receivable allowances	$ 2,917	$ 2,960
Deferred Tax Assets, Accrued compensation	1,919	2,733
Deferred Tax Assets, Accrued workers' compensation	3,274	4,854
Deferred Tax Assets, Transactions Costs	898	1,137
Deferred Tax Assets, Reserves	47	169
Deferred Tax Assets, Restructuring costs	293	718
Deferred Tax Assets, Stock-based compensation	811	799
Deferred Tax Assets, Other	138	524
Total long-term deferred tax assets	10,297	13,894
Deferred Tax Liabilities, Goodwill and intangible assets	(7,301)	(9,506)
Deferred Tax Liabilities, Property and equipment	(749)	(552)
Deferred Tax Liabilities, Prepaid insurance	(359)	(478)
Deferred Tax Liabilities, Other	(1)	(3)
Total long-term deferred tax liabilities	(8,410)	(10,539)
Valuation allowance	(286)
Total net deferred tax assets	$ 1,601	$ 3,355

Income Taxes (Reconciliation of Statutory Federal Tax Rate) (Details)	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]
Federal income tax at statutory rate	35.00%	35.00%	34.50%
State and local taxes, net of federal benefit	5.10%	5.20%	5.20%
Jobs tax credits, net	(6.10%)	(15.80%)	(11.10%)
Nondeductible permanent items	0.40%	0.90%	0.50%
2017 Tax Reform Act, deferred tax assets rate changes	5.30%
Other	(0.70%)	(0.20%)	(3.40%)
Effective income tax rate	39.00%	25.10%	25.70%

Stock Options And Restricted Stock Awards (Narrative) (Details) - USD ($) $ / shares in Units, $ in Millions	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
2009 Stock Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Maximum shares of stock awards authorized for issuance	1,500,000
2017 Omnibus Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Maximum shares of stock awards authorized for issuance	1,182,270
Share-based compensation number of shares available for grant	1,100,000
Stock options or stock appreciation rights "SARs" [Member] \| 2017 Omnibus Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Maximum shares of stock awards authorized for issuance	500,000
Awards denominated in shares of common stock [Member] \| 2017 Omnibus Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Maximum shares of stock awards authorized for issuance	300,000
Stock Options [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock option compensation expense	$ 1.1	$ 0.6	$ 0.6
Unrecognized compensation cost	$ 2.9
Unrecognized compensation cost recognition period	2 years 4 months 24 days
Intrinsic value on vested stock options	$ 2.0
Intrinsic value on outstanding stock options	3.2
Intrinsic value on exercised stock options	$ 0.5	3.9	0.9
Share-based compensation number of shares vested	113,044
Share-based compensation number of shares unvested	365,526
Stock Options [Member] \| 2017 Omnibus Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Exercise price of stock options outstanding, lower range limit	$ 4.62
Exercise price of stock options outstanding, upper range limit	$ 34.85
Stock Options [Member] \| 2009 and 2017 Stock Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based payment award, expiration period	10 years
Stock Options [Member] \| Minimum [Member] \| 2009 and 2017 Stock Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based payment vesting period	3 years
Stock Options [Member] \| Maximum [Member] \| 2009 and 2017 Stock Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based payment vesting period	4 years
Restricted Stock [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock option compensation expense	$ 1.4	$ 0.5	$ 0.9
Unrecognized compensation cost	$ 3.0
Unrecognized compensation cost recognition period	2 years 1 month 6 days
Fair market value of vested restricted stock awards	$ 1.0
Restricted Stock [Member] \| 2009 and 2017 Stock Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based payment award, expiration period	10 years
Restricted Stock [Member] \| Minimum [Member] \| 2009 and 2017 Stock Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based payment vesting period	1 year
Restricted Stock [Member] \| Maximum [Member] \| 2009 and 2017 Stock Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based payment vesting period	4 years

Stock Options And Restricted Stock Awards (Summary of Stock Option Activity and Weighted Average Exercise Price) (Details) - Stock Options [Member] shares in Thousands	12 Months Ended
	Dec. 31, 2017 $ / shares shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options, Outstanding, beginning of period shares \| shares	405
Options, Granted shares \| shares	154
Options, Exercised shares \| shares	(51)
Options, Forfeited/Cancelled shares \| shares	(29)
Options, Outstanding, end of period shares \| shares	479
Weighted Average Exercise Price, Outstanding, beginning of period \| $ / shares	$ 19.71
Weighted Average Exercise Price, Granted \| $ / shares	34.32
Weighted Average Exercise Price, Exercised \| $ / shares	22.60
Weighted Average Exercise Price, Forfeited/Cancelled \| $ / shares	23.61
Weighted Average Exercise Price, Outstanding, end of period \| $ / shares	$ 23.91

Stock Options And Restricted Stock Awards (Weighted-Average Estimated Fair Value of Employee Stock Options Granted) (Details) - Stock Options [Member] - $ / shares	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Weighted average fair value	$ 12.97	$ 9.32	$ 9.18
Risk-free discount rate, minimum	1.67%	1.70%
Risk-free discount rate			2.29%
Risk-free discount rate, maximum	1.85%	2.02%
Expected life		8 years 2 months 12 days	8 years 2 months 12 days
Volatility	47.00%	47.00%	47.00%
Expected turn-over rate		2.00%	2.00%
Expected exercise multiple		$ 2.2	$ 2.2
Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected life	3 years 7 months 6 days
Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected life	4 years 2 months 12 days

Stock Options And Restricted Stock Awards (Summary of Status of Unvested Restricted Stock Awards Outstanding) (Details) - Restricted Stock [Member] shares in Thousands	12 Months Ended
	Dec. 31, 2017 $ / shares shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unvested restricted stock awards at beginning of period \| shares	103
Awarded \| shares	90
Vested \| shares	(35)
Forfeited \| shares	(15)
Unvested restricted stock awards at end of period \| shares	143
Weighted Average Grant Date Fair Value beginning of period \| $ / shares	$ 20.84
Weighted Average Grant Date Fair Value, Awarded \| $ / shares	34.60
Weighted Average Grant Date Fair Value, Vested \| $ / shares	21.07
Weighted Average Grant Date Fair Value, Forfeited \| $ / shares	22.79
Weighted Average Grant Date Fair Value end of period \| $ / shares	$ 29.30

Operating Leases (Narrative) (Details) $ in Millions	12 Months Ended
Operating Leases (Narrative) (Details) $ in Millions	Dec. 31, 2017 USD ($) ft²	Dec. 31, 2016 USD ($)	Dec. 31, 2015 USD ($)	Dec. 31, 2011	Aug. 01, 2017 ft²
Operating Leased Assets [Line Items]
Rent expense	$ 2.5	$ 2.9	$ 3.0
Expired Operating Lease [Member] \| Telecom System [Member]
Operating Leased Assets [Line Items]
Rent expense		0.5	0.6
Operating lease term				5 years
Illinois [Member] \| Office Space [Member]
Operating Leased Assets [Line Items]
Rent expense	$ 0.8	0.8	$ 0.8
Operating lease term	132 months
Area of office space \| ft²	59,000
Illinois [Member] \| Subleased Properties [Member]
Operating Leased Assets [Line Items]
Area of office space \| ft²					21,000
Operating lease payable	$ 2.0
Frisco, Texas [Member] \| Office Space [Member]
Operating Leased Assets [Line Items]
Rent expense	$ 0.7	$ 0.2
Operating lease term	64 months
Area of office space \| ft²	27,000

Operating Leases (Schedule of Future Minimum Payments Exclusive of Taxes and Other Operating Expenses) (Details) $ in Thousands	Dec. 31, 2017 USD ($)
Operating Leases [Abstract]
2018	$ 3,155
2019	2,565
2020	1,948
2021	1,414
2022	981
Thereafter	2,237
Total	$ 12,300

Employee Benefit Plans (Details) - 401(k) Retirement Plan [Member] - USD ($)	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Matching percentage for retirement plan	6.00%	6.00%	6.00%
Company matching contribution amount	$ 44,000	$ 31,100	$ 33,500

Commitments and Contingencies (Narrative) (Details)	12 Months Ended
Commitments and Contingencies (Narrative) (Details)	Dec. 31, 2017
Commitments and Contingencies [Abstract]
Maximum term of employment agreements	4 years
Percentage of employees represented by labor unions	60.40%

Severance and Restructuring (Narrative) (Details) $ in Millions	12 Months Ended
	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($) item
Total expenses related to streamlining initiatives \| $	$ 1.7	$ 8.0
Illinois [Member]
Number of adult day centers closed \| item		3

Severance and Restructuring (Components of and Changes in Severance and Restructuring Accruals) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016
Employee Termination Costs [Member]
Restructuring Cost and Reserve [Line Items]
Balance	$ 1,326
Provision	1,038	3,230
Utilization	(1,802)	(1,904)
Balance	562	1,326
Restructuring and Other Costs [Member]
Restructuring Cost and Reserve [Line Items]
Balance	1,786
Provision	627	4,786
Utilization	(1,336)	(3,000)
Balance	$ 1,077	$ 1,786

Significant Payors (Narrative) (Details)	12 Months Ended
Significant Payors (Narrative) (Details)	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Service Revenues, Net [Member] \| Illinois Department On Aging [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	36.60%	42.10%	48.80%
Accounts Receivable [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	37.50%	55.40%

Significant Payors (Revenue Mix by Payor Type) (Details) - Service Revenues, Net [Member] - Customer Concentration Risk [Member]	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Concentration risk, percentage	100.00%	100.00%	100.00%
State, Local And Other Governmental Programs [Member]
Concentration risk, percentage	64.20%	70.40%	77.70%
Managed Care Organizations [Member]
Concentration risk, percentage	33.10%	26.10%	18.30%
Private Pay [Member]
Concentration risk, percentage	2.10%	2.40%	3.00%
Commercial Insurance [Member]
Concentration risk, percentage	0.60%	1.10%	1.00%

Significant Payors (Percentage of Total Revenue by Geographic Location) (Details) - Service Revenues, Net [Member] - Geographic Concentration Risk [Member]	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Illinois [Member]
Concentration risk, percentage	52.60%	53.60%	59.50%
New York [Memebr]
Concentration risk, percentage	13.70%	12.90%
New Mexico [Member]
Concentration risk, percentage	8.80%	7.50%	8.50%

Unaudited Summarized Quarterly Financial Information (Schedule of Quarterly Results of Operations) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2016	Sep. 30, 2016	Jun. 30, 2016	Mar. 31, 2016	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Unaudited Summarized Quarterly Financial Information [Abstract]
Net service revenues	$ 111,958	$ 108,592	$ 103,559	$ 101,606	$ 103,657	$ 103,502	$ 100,927	$ 92,602	$ 425,715	$ 400,688	$ 336,815
Gross profit	30,715	29,053	28,511	27,317	28,658	27,423	25,695	24,319	115,596	106,095	91,323
Operating income from continuing operations	7,550	5,807	5,921	6,961	7,693	2,495	4,394	653	26,239	15,235	16,024
Net income from continuing operations	3,094	3,408	2,700	4,259	7,471	1,699	2,600	157	13,461	11,927	11,353
Earnings from discontinued operations	147				97
Net income	$ 3,241	$ 3,408	$ 2,700	$ 4,259	$ 7,568	$ 1,699	$ 2,600	$ 157	$ 13,608	$ 12,024	$ 11,623
Average shares outstanding: Basic	11,488,000	11,486,000	11,470,000	11,434,000	11,383,000	11,367,000	11,361,000	11,022,000	11,470,000	11,292,000	10,986,000
Average shares outstanding: Diluted	11,638,000	11,631,000	11,622,000	11,581,000	11,494,000	11,417,000	11,385,000	11,178,000	11,623,000	11,349,000	11,189,000
Continuing operations - Basic	$ 0.27	$ 0.30	$ 0.24	$ 0.37	$ 0.66	$ 0.15	$ 0.23	$ 0.01	$ 1.18	$ 1.05	$ 1.03
Discontinued operations - Basic	0.01				0.01				0.01	0.01	0.03
Basic income per share	0.28	0.30	0.24	0.37	0.67	0.15	0.23	0.01	1.19	1.06	1.06
Continuing operations - Diluted	0.27	0.29	0.23	0.37	0.65	0.15	0.23	0.01	1.16	1.05	1.02
Discontinued operations - Diluted	0.01				0.01				0.01	0.01	0.02
Diluted income per share	$ 0.28	$ 0.29	$ 0.23	$ 0.37	$ 0.66	$ 0.15	$ 0.23	$ 0.01	$ 1.17	$ 1.06	$ 1.04

Subsequent Events (Narrative) (Details) - Subsequent Event [Member] - USD ($) $ in Millions	Feb. 27, 2018	Jan. 01, 2018
New Mexico [Member] \| Ambercare Corporation, Inc. [Member]
Subsequent Events [Line Items]
Business combination purchase price of entity to be acquired	$ 40.0
Illinois [Member] \| Lifestyle Options, Inc. [Member]
Subsequent Events [Line Items]
Business acquisition payment amount		$ 3.4